Medical Claims Examiner - Hybrid/Remote - Fresno, CA Job at Insurance Relief, Long Beach, CA

dHVtNGtlVVI1LzEwMS9XNmE2dVcyZFRCYWc9PQ==
  • Insurance Relief
  • Long Beach, CA

Job Description

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED

Medical Claims Examiner - Hybrid/Remote - Fresno, CA

*100% Remote for Central Valley candidates*

Candidates are required to attend occasional trainings/meetings in Fresno, CA

The Company:

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.

What’s in it for you?

  • $20.00 - $22.00/hour depending on experience
  • Remote position + few weeks of training in the office

What we need from you:

  • 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

What you will be doing:

  • 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
  • Perform other duties and responsibilities as assigned by management

APPLY NOW!

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. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.

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.

Job Tags

Work at office, Remote work,

Similar Jobs

Acro Service Corp

Accounting Assistant Job at Acro Service Corp

 ...We are looking for an Accounting Assistant 3 to support our Costpoint Invoice Indexing team in our Financial Shared Services organization. This role will utilize Costpoint, Perceptive Content, Brainware, Outlook, Excel, and other accounting tools to support Accounts Payable... 

The H&K Group

CDL Water Truck Driver Job at The H&K Group

 ...Tanker. This position places an emphasis on reliability and attentiveness, as maintaining both a truck log and the trucks themselves are daily responsibilities that come along with the position. Why work for H&K Group, Inc.? ~ Competitive salary commensurate with... 

Ledgent Technology

Salesforce Business Systems Analyst (Local, Onsite) Job at Ledgent Technology

 ...remediate risks. Perform business requirements analysis within the context of internal and external facing systems and content management systems; Assists in the development of best practices to improve business processes, system solutions, business intelligence,... 

Marathon TS

Observer - Saturday Shift Job at Marathon TS

 ...zone/site badge issue and control for all/any personnel requiring entry to the construction zone/sites. Duties/Responsibilities:...  ...parking lots and throughout the construction site after hours and on weekends/ holidays to ensure no criminal activity has or is taking place... 

Panhandle Cleaning & Restoration

Mitigation Restoration Technician Job at Panhandle Cleaning & Restoration

 ...MITIGATION TECHS!Education and Certification:Preferred Industry Certification but not necessary: IICRC Certified Water Restoration Technician, IICRC Fire Restoration Technician, and IICRC Certified Mold Remediation Technician, Council Certified Structural...