Claim Examiner

**CLAIM EXAMINER ADJUDICATION** Claims examiners are confident decision-makers playing an important oversight role in the claims process. The role comes with the responsibility of overseeing the work of their colleagues and ensuring that high standards are always met. - Responsible for the coordination and resolution of the administrative denials and...

**Adjudication - Claim Examiner "Fresher or Experience"** - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.). - Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data...

About Claims Examiner RolesOur company helps businesses streamline their claims processing by providing skilled professionals who can analyze documents, contracts, and make informed decisions on claim payouts or denials.Key Responsibilities Include:Analyzing multiple documents and contracts to determine claim validityDeciding on payout or denial of claims...

Job TitleBusiness Process Analyst - Claims ExaminerA Business Process Analyst in this role will analyze multiple documents, contracts, and decide to pay or deny claims submitted by members or providers, adhering to required turnaround times and quality standards.ResponsibilitiesAnalyze multiple documents and contracts to determine the validity of claimsRoute...

Job Summary:A skilled Claims Examiner is needed to accurately process and adjudicate medical claims in accordance with established policies, industry regulations, and contractual agreements.The ideal candidate will be responsible for ensuring timely processing of claims for healthcare services rendered, maintaining high standards of accuracy and efficiency...

Position : CLAIM EXAMINER - **Education**: Graduates or Postgraduates from regular college programs. Academic performance with scores of 75% and above. Communication Skills: Strong verbal and written communication skills. Ability to articulate ideas clearly and effectively. Technical Skills: Proficiency in using MS Office tools (Word, Excel,...

Insurance Claims Examiner Senior Associate RoleThe ideal candidate will be responsible for processing insurance claims efficiently and effectively, meeting productivity, quality, and production goals.Cognitive skills required include language proficiency, basic math skills, reasoning ability, excellent written and verbal communication skills, staying...

**Healthcare (Medical) Claims Examiner** Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. We are seeking to add an experienced Claims Examiner to our rapidly growing organization! A career at SDS is both challenging and rewarding. With over 500 colleagues across the globe, we've created an open and...

**Claim Examiner - Adjudication** **JOB SUMMARY**: - Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...