If you're a self-motivated, detail-oriented professional with a passion for meeting deadlines, we welcome you to join our team. We encourage you to apply as a high-level officer in the following areas: Medical Claims Processing/Audit, Customer Service Support or Medical Claims Management
Responsibilities:
The Claims Examiner is responsible for reviewing, processing, and evaluating insurance claims, ensuring accuracy and compliance with company policies. They assess claim details, gather necessary information, and make decisions based on coverage and guidelines. The Customer Service aspect involves assisting policyholders, answering inquiries, and providing updates on claim statuses. The Claims Manager oversees the Claims Examiners and Customer Service team, ensuring efficient operations, resolving escalated issues, and maintaining high standards of service and claim accuracy.