Claims Examiner

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders. Key Responsibilities Review insurance claims for validity and adherence to policy terms Collect and analyze relevant documentation to support claims processing Communicate with stakeholders to explain the claims process and provide updates Required Qualifications High School diploma or equivalent required Health claims processing experience, including use of QNXT / FACETS software Basic knowledge of medical terminology, coding, and HIPAA regulations preferred Ability to pass pre-employment background checks Ability to download 2-factor authentication applications on personal devices