Claims Examiner Intermediate

Job description

In the Role Evaluate claims against eligibility requirements, provisions and applicable processes. Enter data into appropriate processing systems, including correspondence with internal and external customers. Research additional information to support claim processing. Perform benefit calculations. Conduct claim investigation. Occasional special projects. Participate in departmental meetings and training activities. Process incoming and outgoing mail.

Other duties as assigned.

Requirements

• High School or GED Required
• 2+ year of general work experience, 6 months or more claims experience preferred Basic math skills, familiar with PC Environment Sound judgment, verbal and written communication skills
• Manage positive customer relationships
• Ability to evaluate claims against eligibility requirements