What are the responsibilities and job description for the Medical Claims Examiner position at Morgan White Group?
**Department Overview**
The TPA Department at Morgan White Group is responsible for processing medical, dental, and vision claims for our members.
We are seeking a highly skilled Claims Specialist to join our team and contribute to our mission of delivering exceptional results for our clients.
Responsibilities:
- Claims Adjudication: Review and process claims in accordance with policy guidelines and procedures.
- Patient Communication: Respond to member inquiries and resolve issues in a timely manner.
- Data Management: Utilize our Policy Administration System and Claims Management Software to verify eligibility and review member accounts.
- Auditing: Perform periodic audits to verify claims have been paid correctly.
Skills and Qualifications
To be successful in this role, you should possess:
- Strong analytical and problem-solving skills
- Excellent communication and customer service skills
- Knowledge of insurance policies and procedures
- Ability to work in a fast-paced environment
What We Offer
Morgan White Group offers a competitive compensation package, including benefits and opportunities for professional growth and development.
