Claims Examiner II

Who We Are:

• Trusted partner for health plans offering an integrated ecosystem for operations.
• Global workforce of over 4000 people committed to simplicity, integrity, and leadership.

You Are:

• Claims Examiner II responsible for adjudicating healthcare claims using policies and procedures.
• Reporting to the Claims Team Leader.

The Opportunity:

• Process assigned claims based on client guidelines or team leader direction.
• Meet productivity, financial, and accuracy standards set by management.
• Mentor junior members and collaborate on special projects like training or audits.

What You Need:

• Solid understanding of claim data analysis and medical coding (ICD-10, CPT, HCPCS).
• High school degree and 1-3 years of healthcare claims processing experience.
• Team collaborator with strong work ethic and ability to adapt quickly.