Claims Examiner

Harris Novum

Multiple Locations
Base: $20-$25ph; bonus/equity: not specified; bene...
Claims processing and assessment
Review medical records
Analyze policy provisions
Evaluate incoming claims to determine eligibility, coverage, and validity by conducting thorough investigations and reviewing relevant documentation

Job Summary

  • Evaluate incoming claims to determine eligibility, coverage, and validity by conducting thorough investigations and reviewing relevant documentation.
  • Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements, providing timely responses and maintaining empathetic communication.
  • Ensure compliance with company policies, procedures, and regulatory requirements while maintaining accurate records and participating in quality assurance initiatives.

Matching Summary

Evaluate incoming claims to determine eligibility, coverage, and validity by conducting thorough investigations and reviewing relevant documentation.

Salary

Base: $20-$25/hr; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Claims processing and assessment
  • Review medical records
  • Analyze policy provisions
  • Claims management systems
  • Communicate with policyholders
  • Ensure compliance with policies

Nice-to-have

  • Empathetic communication
  • Process improvement identification
  • Quality assurance initiatives
  • Collaborate with team members

Key Requirements

  • Must have authorization to work in the US
  • Not specified

Work Rights

Not specified

Tailored Resume

Cover Letter