Medical Claims Examiner - Hybrid/Remote - Fresno, CA - Insurance Relief : Job Details

Medical Claims Examiner - Hybrid/Remote - Fresno, CA Medical Claims Examiner - Hybrid/Remote - Fresno, CA

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This range is provided by Insurance Relief. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

Base pay range

$20.00/hr - $22.00/hr

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED

Medical Claims Examiner - Hybrid/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.

Whats in it for you?

• Remote position + few weeks of training in the office

What we need from you:

• Experience - 1-2+ years reviewing and processing medical, dental, and vision claims
• 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 the 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
• Contact doctors, lawyers, or others involved to resolve claim/coverage questions
• Perform other duties and responsibilities as assigned by management

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Why Insurance Relief?

As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.

Insurance Relief provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.

Seniority level

• Seniority level Associate

Employment type

• Employment type Full-time

Job function

• Job function Customer Service, Business Development, and Administrative
• Industries Insurance

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