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Claims Examiner
Location
Oklahoma
Posted
8 days ago
Salary
$15 - $32 / hour
Seniority
Junior
Job Description
Claims Examiner
Relation Insurance Services
• Reviews and validates claims for accuracy, completeness, and eligibility based on policy terms and guidelines • Analyzes, adjudicates, and resolves claims by approving or denying documentation • Ensures legal compliance with company policies, procedures, and applicable regulations • Communicates with reinsurance brokers and other stakeholders to obtain necessary information for claim processing • Protects confidential information and ensures HIPAA compliance • Supports quality, accuracy, and consistency in claims processing through adherence to policies and procedures
Job Requirements
- High school diploma or equivalent required
- Minimum 1 year of healthcare reimbursement or claims processing experience
- Strong analytical, problem-solving, and communication skills
- Intermediate computer skills, including email, database activity, word processing, and spreadsheets
- Ability to handle multiple tasks simultaneously and adapt to changing priorities
Benefits
- Competitive pay
- Health and wellness programs
- 401K
- Employee assistance programs
- Paid time off
- Paid holidays
- Career advancement and development opportunities
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