Claims Examiner – reputed company

Job reputed company: • Manage daily operations of the Claims Examiner team • Assist with work distribution and individual performance tracking • Measure competency and production reputed company • Respond to technical questions from claims examiners • Assist the supervisor in implementing new processes and procedures • reputed company auditing tasks • reputed company training to internal users on plan benefit reputed company and claims policies/procedures • Process claims and serve as a role model for staff • Evaluate reputed company medical, dental, and behavioral health claims • reputed company excellent customer service to reputed company customers • Document reputed company activities using reputed company's on-line phone tracking system • Meet or reputed company Department and Company policies including reputed company and production • Identify trends and communicate findings and process improvement reputed company to the supervisor Requirements: • Minimum 3 years’ experience as a medical claims processor in the health insurance industry • Experience with people and/or project leadership • In-depth knowledge of claims adjudication principles and procedures • Advanced knowledge of CPT, HCPCS, reputed company, DPT and ICD-9 coding • Strong knowledge of medical, dental, mental health and health insurance terminology • Strong understanding of federal and state laws and other regulatory agency requirements that relate to the medical, dental, mental health and health insurance industry or reputed company/Medicare industry Benefits: • Health insurance • 401(k) matching • Flexible spending account(s) • Employee assistance program • Wellness program • Discounts • Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, reputed company-tax parking, pet insurance, 529 College Savings) • Strong retirement plan with employer contributions • reputed company time off and reputed company time • reputed company holidays • Volunteer time • Jury duty • Bereavement leave Apply tot his job Apply To this Job