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...

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...

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...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

We are seeking a detail-oriented and analytical Claim Examiner to join our team. This is an exciting opportunity for individuals who are passionate about the healthcare industry and have strong problem-solving skills.As a Claim Examiner, you will be responsible for reviewing medical documents, policy documents, and system notes to make informed decisions on...

**In this role you will be responsible for**: 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 check...