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The Claims Examiner is responsible for providing claims production to the Claims Production Team to enable the administration of non-auto adjudicated claims which contributes to the overall success of Claims Production ensuring specific individual goals, plans, initiatives are executed and delivered in support of the team's business strategies and objectives. The Claims Examiner is responsible for maintaining and adhering to internal controls, ensuring compliance with applicable laws and regulations, and following Health New England's entity level policies and procedures. The position is responsible for reporting unethical or fraudulent activity related to business operations and adhering to Health New England's Code of Conduct.