Medical Claims Examiner - Hybrid/Remote - Fresno, CA Job at Insurance Relief, Santa Clarita, CA

VkwrN0lnMytLWlltb2N6S25MUlYzQmU1TEE9PQ==
  • Insurance Relief
  • Santa Clarita, CA

Job Description

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.

What’s in it for you?

  • $20.00 - $22.00/hour depending on experience
  • 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
  • Education - High school diploma required, college degree preferred
  • 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

APPLY NOW!

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.

Job Tags

Work at office, Remote work,

Similar Jobs

The International School

Chinese Teacher Assistant for Early Childhood (Part Time) Job at The International School

 ...Job Description Job Description Title: Teacher Assistant Department: Faculty Reports to: Head of Early Childhood (grades Pre-k Kindergarten) Status: Non-Exempt (Hourly) Duration: 10 months August -June Schedule: Tuesday-Thursday, from 7:15AM-12:00PM.... 

Creative Financial Staffing (CFS)

Staff Accountant Job at Creative Financial Staffing (CFS)

 ...Prepare and complete reconciliations for all organizational bank accountsSupport full-cycle general accounting and assist...  ...aptitude#StaffAccountant #StaffAccountantJobsSeniority level Seniority level Entry levelEmployment type Employment type Full-timeJob function... 

UC Davis Health

Sleep Medicine Physician Job at UC Davis Health

 ...UC Davis Medical Group is seeking a Board Certified Sleep Medicine Physician. Job Summary The purpose of this position is to provide the sleep medicine expertise required to maintain a high level of patient care and improve patient access to care. The sleep... 

Bethesda Health

RN Care Specialist Job at Bethesda Health

 ...RN Care Specialist at Bethesda Health summary: The RN Care Specialist at Bethesda is responsible for ensuring compliance and managing risk across...  ...limited to, long term care, independent living, hospice, home care and assisted living. Serves as a resource for all levels... 

Openwork, LLC

Dishwasher Job at Openwork, LLC

 ...Job Description Job Description Openwork is currently engaged in a search to find a Dishwasher to join a dedicated Hospital Food Services Team in the Austin area. In this role, youll support the overall cleanliness and sanitation of kitchen and dining areas, ensuring...