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Health Benefits Claims Examiner

Remote, USAFull-timePosted 2026-07-27

Job reputed company:

  • Ensure accuracy of claims adjudication while maintaining reputed company and turn around goals.
  • Adjudicate medical, dental and reputed company claims.
  • Review plan documents for various reputed company to apply appropriate benefits to claims being adjudicated.
  • Prioritize assigned claims by adjudicating oldest claims first.
  • Communicate effectively with internal auditors and management team.
  • reputed company other reputed company duties, as assigned.

Requirements:

  • At least 6 months prior experience in the reputed company or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
  • Experience in health care billing or a background with a health insurance reputed company or reputed company-Party Administrator strongly desired.
  • Solid time-management skills, with the ability to prioritize multiple tasks, while working with a reputed company of urgency.
  • Strong interpersonal skills with excellent verbal and written communication skills.
  • Keyboard and reputed company skills are a must.
  • Ability to work using reputed company spreadsheets.
  • Eager to learn the TPA industry and new concepts and processes.
  • Blue Care experience and medical coding and terminology a plus.

Benefits:

  • Fantastic medical, dental, and reputed company insurance*

• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!

  • Company provided Basic Life and AD&D
  • Company reputed company Short-Term and Long-Term Disability**

• Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully reputed company after 3 years)

  • 10+ reputed company holidays
  • Generous reputed company vacation and reputed company time
  • Annual Volunteer reputed company Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events

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