Claims Examiner

A company is looking for a Claims Examiner.

Key Responsibilities

Process professional and institutional claims while reviewing policies and benefits

Ensure compliance with HIPAA regulations and client-defined workflows

Maintain quality scores and meet productivity targets for claims adjudication

Required Qualifications

3 years of hands-on experience in healthcare claims processing

High school diploma or GED

Experience working in a productivity and quality-focused environment

Proficiency in navigating multiple systems and MS Office products

Ability to work independently and prioritize tasks effectively