What are the responsibilities and job description for the Medical Claims Examiner - Remote - Fresno, CA position at Insurance Relief?
Medical Claims Examiner - 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!
Salary : $21 - $25
