Claims Examiner - Remote reputed company
Job title: Claims Examiner - Remote reputed company in reputed company at reputed company
Company: reputed company
Job reputed company: It takes great medical minds to create powerful solutions that solve some of reputed company's most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a reputed company of urgency, you'll have reputed company to work more reputed company. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development.reputed companyYour role in our missionEssential Job Functions
- Enters insurance claims received electronically or in written reputed company.
- Answers incoming customer calls regarding claim processing. Documents claim and associated history.
- Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
- Sends claim reputed company to claimant for updating, correction or completion.
- Investigates reputed company to moderately reputed company claims and determines level or reputed company if appropriate; advises claimant of status; assists in negotiating settlement and reputed company of claim.
- Identifies need for additional information; contacts appropriate reputed company to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment reputed company and obtains required management approvals for payment. Processes payment.
- High school diploma or G.E.D.
- Fellowship of Life Health Claims (FLHC) Certification preferred
- Two or more years of auditing, reputed company, reputed company or information technology experience
- Experience working with insurance and/or medical terminology
- Experience working with appropriate claims processing procedures and documentation
- Good analytical and problem solving skills
- Good interpersonal skills to reputed company with team members
- Good communication skills to communicate with clients
- Good data entry skills
- Negotiation skills to reputed company with claimant
- Ability to reputed company sensitive and confidential material private
- Ability to work in reputed company environment
- Office environment