Claims Examiner I - Medical
By EMI Health At , Salt Lake City, 84107, Ut

EDUCATION, EXPERIENCE AND OTHER SPECIFIC QUALIFICATIONS:

LANGUAGE, MATH, COMPUTER, AND REASONING SKILLS:

Claims Analyst/Claims Consultant I, Ii, Or Sr.
By National General At Washington, United States
Time management skills from a global case management and pending perspective (vs. transactional)
Identifies customer needs and works to meet those needs using appropriate customer service skills
Bachelor’s degree preferred or equivalent experience
0-2 years of related experience
Effective verbal and written communication skills
Problem solving and analytical skills; ability to detect differences and issue recognition from multiple sources
Legal Administrative Specialist (Insurance Benefits Claims Examiner)
By U.S. Office of Personnel Management (OPM) At Washington, DC, United States

Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel Management. If selected, you will review ...

Are you looking for a challenging and rewarding career as a Claims Examiner I? We are looking for an experienced professional to join our team and help us process and review insurance claims. You will be responsible for ensuring accuracy and timeliness of claims processing, as well as providing excellent customer service. If you have a passion for helping people and a commitment to accuracy, then this is the job for you!

Overview Claims Examiner I is responsible for reviewing and processing insurance claims. They must ensure that all claims are handled in accordance with company policies and procedures. They must also ensure that all claims are paid in a timely manner. Detailed Job Description Claims Examiner I is responsible for reviewing and processing insurance claims. They must review all claims for accuracy and completeness and ensure that all claims are handled in accordance with company policies and procedures. They must also ensure that all claims are paid in a timely manner. They must also investigate and resolve any discrepancies or disputes that may arise. They must also maintain accurate records of all claims and provide customer service to claimants. Job Skills Required
• Knowledge of insurance policies and procedures
• Excellent customer service skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to handle multiple tasks simultaneously
• Attention to detail
• Ability to work in a fast-paced environment
• Computer proficiency
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least two years of experience in claims processing
• Knowledge of insurance policies and procedures
• Ability to work independently and as part of a team
• Computer proficiency
Job Knowledge
• Knowledge of insurance policies and procedures
• Knowledge of claims processing procedures
• Knowledge of customer service principles
• Knowledge of legal and regulatory requirements
Job Experience
• At least two years of experience in claims processing
• Experience in customer service
• Experience in problem-solving
Job Responsibilities
• Review and process insurance claims
• Ensure that all claims are handled in accordance with company policies and procedures
• Investigate and resolve any discrepancies or disputes that may arise
• Maintain accurate records of all claims
• Provide customer service to claimants
• Monitor claims to ensure timely payment
• Communicate with claimants and other parties involved in the claims process