Health Claims Specialists

As a Claims Examiner, you will dedicate 90% of your day to independently processing claims through data entry, managing them in accordance with established policies, procedures, and regulatory guidelines. Your responsibilities include effectively adjudicating claims to meet production, quality, and other metrics, following up on claims needing additional information, and referring problem claims for further review. You will ensure that the integrity of the information is accurate and kept private according to HIPPA guidelines and work with specific software. May be assigned special projects. Benefits include medical, dental, and vision plans. Paid training and PTO are included. They also have employee discounts. Sutherland offers advancement opportunities.