Claims Examiner

A company is looking for a Claims Examiner.

Key Responsibilities

Review and evaluate insurance claims for accuracy and compliance

Determine the validity of claims and authorize payments based on policy guidelines

Communicate with claimants and providers to gather necessary information

Required Qualifications

High school diploma or equivalent; relevant certifications preferred

Experience in claims processing or a related field

Knowledge of insurance policies and regulations

Proficiency in using claims management software

Ability to work independently in a remote environment