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2 Claims Examiner Jobs in Katy, TX

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Entrust Inc., a 90 Degree Benefit Company
Katy, TX | Full Time
$57k-73k (estimate)
2 Months Ago
Academy
Katy, TX | Full Time
$61k-78k (estimate)
2 Months Ago
Claims Examiner
$57k-73k (estimate)
Full Time 2 Months Ago
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Entrust Inc., a 90 Degree Benefit Company is Hiring a Claims Examiner Near Katy, TX

Top-rated Health Administration Company offers excellent opportunity to grow in a dynamic business. We are located in Katy, just off of Highway 99 and Westpark Tollway. We have been in business since 1970 and we are on the front lines of our industry. Because we are led by the best minds in the business, we are innovative, stable and we are growing.

Essential Functions include, but are not limited to:

  • Processing all claim types for assigned workload, maintaining a 10 day or less turnaround;
  • Interpret and understand Plan Document provisions;
  • Work priority queue and various other claim queues within the priority queue;
  • Maintain claims email mailbox, supporting Customer Service and Account Executives;
  • Maintain void and refund process;
  • Handle subrogation cases;
  • Regular and reliable attendance;
  • Keep supervisor informed of known actions, written or verbal, which may affect the ability to successfully perform assignments or adversely affect 90 Degree Benefits operations.
  • Complete projects or other duties assigned by Supervisor or Manager.

Core Competencies:

  • Represent 90 Degree Benefits core values, mission and culture;
  • Lead by example;
  • Be professional, courteous and respectful of others;
  • Communicate clearly and accurately, both written and orally;
  • Expand general knowledge of employee benefits;
  • Elevate performance by setting clear goals and expectations;
  • Foster knowledge, innovation and productivity;
  • Work in a collaborative team environment;
  • Deliver the highest level of excellence;
  • Proficient in VBA System, Excel, Word and Outlook.

Qualifications:

  • Two years of experience processing medical claims;
  • Associates degree or equivalent preferred;
  • Medical coding and terminology helpful;

Once production and quality are met, there is the possibility to work remotely.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Retirement plan
  • Vision insurance

Schedule:

  • 8 hour shift

Application Question(s):

  • Have you ever processed medical claims as a claims examiner for an insurance company?

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$57k-73k (estimate)

POST DATE

04/19/2023

EXPIRATION DATE

05/26/2024

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The job skills required for Claims Examiner include Customer Service, Subrogation, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Examiner. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Examiner. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Claims Examiner positions, which can be used as a reference in future career path planning. As a Claims Examiner, it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Examiner. You can explore the career advancement for a Claims Examiner below and select your interested title to get hiring information.

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If you are interested in becoming a Claims Examiner, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Examiner for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Examiner job description and responsibilities

Most medical claims examiners deal with paperwork on a daily basis and they are expected to work on multiple claims per day.

04/03/2022: Springfield, MA

Each claim often comes with supporting documents such as medical records and hospital bills and examiners need to look over each file carefully.

03/08/2022: Manchester, NH

Claims examiners are responsible for approving or rejecting claims or arranging settlements.

01/25/2022: Santa Fe, NM

Examiners may review medical bills or accident reports and they may consult specialists.

01/30/2022: Santa Barbara, CA

The Claims Examiner maintains a full case load of professional liability claims.

01/24/2022: Monroe, LA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Examiner jobs

Keep reading to learn more about a claims examiner role.

03/28/2022: Oklahoma City, OK

Candidates should know that having a critical thinking and outstanding decision-making give examiners the logic and reasoning to evaluate and resolve claims.

04/05/2022: Tulsa, OK

Most employers require or strongly prefer medical claims examiners that have some medical background such as a postsecondary diploma.

03/11/2022: San Antonio, TX

To determine whether a claim should be rewarded, an examiner must be aware of the red flags associated with fraudulent claims and possess detailed analysis skills.

01/30/2022: Bellingham, WA

To begin a career as a medical claims examiner, one must first learn certain knowledge and skills that will help them execute the duties of the job.

02/17/2022: Lawton, OK

Step 3: View the best colleges and universities for Claims Examiner.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
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