Medical Claims Examiner

4 weeks ago


Clearwater FL, United States Integrity Marketing Group Full time

About Insurance Administrative Solutions

We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations.

Our highly collaborative team environment offers each of our employees a place where they can excel.

We're looking for a skilled Medical Claims Examiner to join our team.

The ideal candidate will have strong analytical skills and be able to interpret contract benefits in accordance with specific claims processing guidelines.

Responsibilities will include analyzing claims to determine the extent of insurance carrier liability, examining and performing research to make decisions necessary to properly adjudicate claims and written inquiries, and understanding broad strategic concepts of our business and linking these to day-to-day business functions of claims processing.

The successful candidate will have good PC application skills and typing to 30 wpm with accuracy and clarity of content.

Previous health/Medicare/prescription claims adjudication experience is a plus, as is familiarity with medical terminology, procedure and diagnosis codes.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

Apply today to join our team and take the first step towards a rewarding career in insurance administration.

Integrity is an equal opportunity employer and welcomes applications from diverse candidates.



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