Senior Claims Examiner

🕒 2 days ago

🦞 Maine – Remote

🦞 Maine – Remote

💵 $30.5k - $43.5k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Review, research, and resolve medical and dental claims according to established processing guidelines and procedures • Analyze claims issues and collaborate with internal departments for timely and accurate resolution • Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations • Communicate claim status, workload updates, and potential issues to leadership and business partners • Investigate and process claim-related issues using multiple systems and tools • Handle sensitive and confidential information according to company policies and procedures • Work a standard Monday through Friday schedule

🎯 Requirements

• Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment • Strong attention to detail, analytical thinking, and problem-solving skills • Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment • Proficiency with Microsoft Office applications • Ability to navigate multiple systems to research and process claims • Strong written and verbal communication skills • Ability to interpret policies, procedures, and operational guidelines

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies