Claims Examiner

This is a fully remote position, open to applicants in Oklahoma.

📋 Description

• Evaluates and verifies claims for precision, thoroughness, and eligibility in accordance with policy stipulations and guidelines.

• Examines, adjudicates, and resolves claims by either approving or denying submitted documentation.

• Ensures adherence to legal requirements in line with company policies, procedures, and relevant regulations.

• Engages with reinsurance brokers and other relevant parties to gather essential information for the claim processing procedure.

• Safeguards confidential data and guarantees compliance with HIPAA regulations.

• Promotes quality, accuracy, and uniformity in claims processing by following established policies and procedures.

⛳️ Requirements

• A high school diploma or equivalent is mandatory.

• At least 1 year of experience in healthcare reimbursement or claims processing is required.

• Strong analytical, problem-solving, and communication abilities are essential.

• Proficient computer skills, including familiarity with email, database activities, word processing, and spreadsheet applications.

• Capability to manage multiple tasks concurrently and adapt to evolving priorities.

🏝️ Benefits

• Competitive compensation.

• Health and wellness initiatives.

• 401K plan.

• Employee assistance programs.

• Paid time off.

• Paid holidays.

• Opportunities for career advancement and development.