Experienced Claims Examiner

Job Summary

A company is looking for an Indemnity Claims Specialist.

Key Responsibilities

• Receives claims, confirms policy coverage, and determines validity and compensability
• Establishes reserves and authorizes payments within reserving authority limits
• Manages non-complex medical only claims and communicates claim status with stakeholders

Required Qualifications, Training, and Education

• Bachelor's degree or a combination of education and related experience
• Minimum of 1 year of industry experience and claims management preferred
• State Certification as an Experienced Examiner