Insurance Relief
Medical Claims Examiner - Hybrid/Remote - Fresno, CA
*100% Remote for Central Valley candidates*
A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees.
Remote position + few weeks of training in the office
Experience - 1-2+ years reviewing and processing medical, dental, and vision claims
Education - High school diploma required, college degree preferred
Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position
Comprehensive knowledge - You have data entry coding and medical claims processing experience
Comprehensive understanding of employee benefits for medical, dental, and vision plans.
Compares data on claim application with policy file and other company records to ascertain completeness and validity of claim
Refers most questionable claims to the investigator or to claim adjuster for investigation and settlement
Corresponds with agents and claimants to correct errors or omissions on claim forms and to investigate questionable entries
Examines claim adjusters' reports or similar claims/precedents to determine the extent of coverage and liability
Contact doctors, lawyers, or others involved to resolve claim/coverage questions
Why Insurance Relief™?
As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.
*100% Remote for Central Valley candidates*
A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees.
Remote position + few weeks of training in the office
Experience - 1-2+ years reviewing and processing medical, dental, and vision claims
Education - High school diploma required, college degree preferred
Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position
Comprehensive knowledge - You have data entry coding and medical claims processing experience
Comprehensive understanding of employee benefits for medical, dental, and vision plans.
Compares data on claim application with policy file and other company records to ascertain completeness and validity of claim
Refers most questionable claims to the investigator or to claim adjuster for investigation and settlement
Corresponds with agents and claimants to correct errors or omissions on claim forms and to investigate questionable entries
Examines claim adjusters' reports or similar claims/precedents to determine the extent of coverage and liability
Contact doctors, lawyers, or others involved to resolve claim/coverage questions
Why Insurance Relief™?
As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.