Claims Examiner I

We are seeking a Claims Examiner I to handle processing and adjudication of healthcare claims, with a focus on medical, dental, vision, and mental health claims. The successful candidate will have 2+ years of related work experience, claims examiner/adjudication experience, and knowledge of CPT and ICD-9 coding. As a Claims Examiner, you will process claims, investigate and resolve claims appeals, and verify medical necessities and coverage under policy guidelines. You will also have the opportunity to work with a talented team and enjoy a comprehensive benefits package, including medical, dental, vision, and life insurance, as well as a retirement savings plan and paid time off.

Requirements

• 2+ years of related work experience
• Claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry
• High school diploma or GED
• Knowledge of CPT and ICD-9 coding required
• Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits required

Benefits

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, Short- and long-term disability programs
• Flexible schedules after training + future WAH options
• Leave programs to support personal circumstances
• Retirement Savings Plan includes employer contribution and employer match
• Paid time off, volunteer time off, and 11 holidays