What are the responsibilities and job description for the Medical Claims Examiner - Hybrid/Remote - Fresno, CA position at Insurance Relief?
Medical Claims Examiner - Hybrid/Remote - Fresno, CA
*100% Remote for Central Valley candidates*
Candidates are required to attend occasional trainings/meetings in Fresno, CA
The Company:
A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees.
What’s in it for you?
- $21.00 - $25.00/hour depending on experience
- Primarily remote position with occasional trainings/meetings in the office.
What we need from you:
- Experience - 1-2 years reviewing and processing health insurance claims
- Education - High school diploma required, college degree preferred
- Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position
- Comprehensive knowledge - You have data entry coding and medical claims processing experience
What you will be doing:
- Comprehensive understanding of employee benefits for medical, dental, and vision plans.
- Compares data on claim application with policy file and other company records to ascertain completeness and validity of claim
- Refers most questionable claims to investigator or to claim adjuster for investigation and settlement
- Corresponds with agents and claimants to correct errors or omissions on claim forms and to investigate questionable entries
- Examines claim adjusters' reports or similar claims/precedents to determine the extent of coverage and liability
- Contacts doctors, lawyers, or others involved to resolve claim/coverage questions
- Perform other duties and responsibilities as assigned by management
APPLY NOW!
Why Insurance Relief™?
As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.
Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.
Job Types: Full-time, Temporary
Pay: $21.00 - $25.00 per hour
Schedule:
- Monday to Friday
Experience:
- health insurance claims: 1 year (Required)
Ability to Commute:
- Fresno, CA 93711 (Required)
Work Location: Hybrid remote in Fresno, CA 93711
Salary : $21 - $25
