Medical Claims Examiner - Processor

Job Description

Job Description

Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties.

****This Not a Remote Position****

Essential Duties and Responsibilities include the following. Other duties may be assigned.

· Compares data on claim with internal policy and other company records to ascertain completeness and validity of claim.

· Comprehensive understanding of employee benefits for medical, dental and vision plans.

· Adjudicates medical claims, applies coordination of benefits as outlined in plan guidelines and works with providers to gather the necessary documents to make final