Claims Examiner - Philadelphia, PA

Claims Examiner responsible for reviewing and adjudicating claims based on provider and health plan contractual agreements and claims processing guidelines.

Requirements

• Complies with all internal processes and procedures
• Review, research, analyze, and process complex healthcare claims
• Escalates claim and/or system issues to Team Lead or Supervisor
• Creates and supports a professional environment
• Meet department quality and production requirements

Benefits

• Company benefits not specified