Medical Claims Examiner
University of Massachusetts•Shrewsbury, MA
405d
This job is no longer available
There are still lots of open positions. Let's find the one that's right for you.
About The Position
The Medical Claims Examiner is responsible for processing medical services claims, ensuring compliance with policies and contract terms, and maintaining high-quality standards in claims adjudication. This role involves interpreting plan contract language, verifying data accuracy, and ensuring timely processing of claims to enhance client satisfaction. The position requires independent decision-making regarding issue escalation and client interaction, as well as conducting business process assessments and making recommendations for improvements.
