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Claims Examiner

Company: VirtualVocations
Location: Fontana
Posted on: October 28, 2024

Job Description:

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders.



Key Responsibilities

Review insurance claims for validity and adherence to policy terms
Conduct investigations and analyze policy coverage to determine liability and settlement amounts
Communicate with claimants and stakeholders to explain the claims process and provide updates


Required Qualifications

High School diploma or equivalent required
Health claims processing experience preferred, including use of claims processing software
Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding preferred
Basic computer skills required
Ability to pass a pre-employment background investigation

Keywords: VirtualVocations, Palm Desert , Claims Examiner, Other , Fontana, California

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