Claims Examiner

Job not on LinkedIn

🕒 2 days ago

🎰 Nevada – Remote

🎰 Nevada – Remote

💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

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IMH

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🤝 B2B

🏪 Marketplace

👥 B2C

B2B • Marketplace • B2C

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Responsible for inbound calls from providers and health plans and adjudicates physician claims, in a timely and accurate manner. • Provides superior customer service consistent with company standards and goals. • Responsible for quality and continuous improvement within the job scope. • Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely follow-up on inquiries received and correctly logs all incoming calls and emails. • Maintains the minimum accuracy standard and follows up timely to meet compliance standards for claims, pends, and tasks. • Reviews claim images and batches to ensure accuracy. • Uses proper plan documentation to determine benefits and correctly adjudicate. • Participates in meetings, training, and committees as designated by the supervisor. • Reviews feedback from supervisors, trainers, auditors, examiners, and trending spreadsheets.

🎯 Requirements

• One year of claims processing, claims logging, or customer service experience in a managed care environment. • Demonstrated minimum of 100 SPM on ten key and 30 WPM typing. • Associates degree or some college level coursework preferred. • Degree obtained from accredited institution. Education is verified. • Demonstrated excellent verbal, written, and interpersonal skills. • Demonstrated consistent accuracy and processing efficiency in work. • Demonstrated ability to resolve complex claims problems and be detail oriented. • Manual dexterity, hearing, seeing, speaking.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development • Wellness programs