Job Description

Working remotely from a secure location within the United States, the full-time Claims Examiner will analyze and process healthcare claims, ensuring compliance with guidelines and maintaining organized records for audit and reporting. Key responsibilities Review and process healthcare claims in alignment with policies and regulations, ensuring accuracy and compliance Document claim status, decisions, and follow-up actions, maintaining organized records for audit and reporting Identify claim discrepancies and collaborate with relevant teams to resolve issues efficiently Required qualifications Previous experience in claims processing or a related field Strong organizational skills with attention to detail and accuracy Proficiency in Microsoft Office Suite and claims processing software Ability to manage time and prioritize tasks effectively in a high-paced environment Excellent written and verbal communication skills to interact effectively with team members

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