Senior Claims Examiner
Company: VirtualVocations
Location: Provo
Posted on: April 22, 2025
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Job Description:
A company is looking for a Senior Claims Examiner to process
complex health care claims and mentor team members.
Key Responsibilities
Adjudicate various types of health care claims and ensure
compliance with policies and regulations
Research and resolve discrepancies in claims, including
communication with providers and members
Lead process improvement initiatives and assist in training other
team members
Required Qualifications
High school education or equivalent with 5-7 years of experience as
a health claims examiner
Advanced claims processing experience with knowledge of various
claim types and regulations
Ability to interpret plan documents for accurate claim
adjudication
Proficiency in medical terminology and coding, along with
familiarity with relevant forms
Working knowledge of ERISA claims processing guidelines
Keywords: VirtualVocations, South Jordan , Senior Claims Examiner, Other , Provo, Utah
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