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Claims Examiner

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Logo of Relation Insurance Services

Relation Insurance Services

1001 - 5000 employees

đź’¸ Finance

🤝 B2B

Finance • Insurance • B2B

Relation Insurance Services is a trusted partner in insurance brokerage, offering personalized solutions across various sectors. The company emphasizes building strong relationships based on trust and understanding client challenges, whether in personal or business contexts. With expertise in industries such as agribusiness, construction, finance, and technology, Relation Insurance Services leverages data-driven insights and long-term carrier relationships to navigate the complexities of insurance, ensuring clients feel safer and more in control of their insurance decisions.

đź“‹ Description

• Reviews and validates claims for accuracy, completeness, and eligibility based on policy terms and guidelines • Analyzes, adjudicates, and resolves claims by approving or denying documentation • Ensures legal compliance with company policies, procedures, and applicable regulations • Communicates with reinsurance brokers and other stakeholders to obtain necessary information for claim processing • Protects confidential information and ensures HIPAA compliance • Supports quality, accuracy, and consistency in claims processing through adherence to policies and procedures

🎯 Requirements

• High school diploma or equivalent required • Minimum 1 year of healthcare reimbursement or claims processing experience • Strong analytical, problem-solving, and communication skills • Intermediate computer skills, including email, database activity, word processing, and spreadsheets • Ability to handle multiple tasks simultaneously and adapt to changing priorities

🏖️ Benefits

• Competitive pay • Health and wellness programs • 401K • Employee assistance programs • Paid time off • Paid holidays • Career advancement and development opportunities

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