Texas Licensed Claims Examiner

A company is looking for a Claims Examiner.

Key Responsibilities

Process professional and institutional claims while ensuring compliance with HIPAA and company regulations

Review policies and benefits, prioritizing work to meet turnaround times and quality targets

Calculate claims payable amounts accurately and respond to claims received via email in a timely manner

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

Proficient in using MS Office products, including Outlook, Word, and Excel

Ability to navigate multiple systems and screens effectively