Claims Examiner

Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Essential Functions:

• Reviews providers’ disputes and appeals for professional and hospital claims to determine resolution according to policies and procedures.

• Adheres to state and federal policies and procedures when adjudicating claims, including but not limited to, interest calculation and resolution timeliness

• Perform any projects delegated by claims supervisor