Description
The Claims Examiner I processes and adjudicates medical claims, verifies completeness and validity, applies employee benefits and coordination-of-benefits guidelines, codes claims, resolves escalations, and releases claims for payment within 3–5 days. The role requires medical-claims processing experience, proficiency with ICD-10, CPT, and HCPCS codes, strong analytical and computer skills, and 3–5 years of employee benefits or claims-examiner experience. It is an office-based position with no supervisory responsibilities and pays $24.00–$25.00 DOE.
