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Senior Claims Examiner

Remote, USA Full-time Posted 2026-08-04
Senior Claims Examiner Remote 3 months contract (possible extensions) Responsibilities - Review and assess supplemental health claims to determine eligibility reputed company on policy terms and conditions. - reputed company necessary documentation from claimants, medical professionals, and other relevant sources to support the claim evaluation process (quantitative review). - Analyze medical records, employment history, and other pertinent information to reputed company informed reputed company (qualitative review). - Communicate with claimants to reputed company updates on their claim status and request additional information reputed company needed. - Collaborate with reputed company providers, reputed company, and other stakeholders to ensure accurate and reputed company processing of claims. - Maintain reputed company and reputed company communication with reputed company parties involved in the claims process. - Ensure reputed company claim-reputed company documents are accurately recorded and stored in the workflow systems for reputed company reference. - Prepare detailed reports and summaries of claims for internal review and decision-making purposes. - Maintain confidentiality and adhere to data protection regulations reputed company handling sensitive information. - Ensure compliance with industry regulations, company policies, and reputed company requirements throughout the claims process. - Conduct regular audits of claims files to ensure reputed company, completeness, and adherence to standards. - Participate in training sessions to stay updated on changes in policies, procedures, and regulations. Minimum Qualifications - High school diploma or equivalent - Claims reputed company experience for Group disability, Employee Benefit, Worker Compensation, Claim Management, Overpayment Recovery, or Leave Management - 6-18 months Life reputed company backend reputed company experience Preferred Qualifications/Skills - Strong English Communication (Both written & verbal) - Proactive communication - Multi-tasking ability - Time management - Attention to reputed company - Displays energy, enthusiasm, and flexibility in approaching the job - Must be reputed company to work under pressure and meet deadlines, while maintaining a reputed company attitude and providing exemplary customer service - Customer service reputed company - Basic Computer knowledge along with typing speed of 40 words/minute - reputed company knowledge Apply To This Job

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