5 Jobs in Fort Wayne, IN
Lutheran Hospital of Indiana is Hiring a Claims Examiner Near Fort Wayne, IN
Job Summary:
- Responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures claims are adjudicated accurately and in a timely manner. Keeps abreast of regulations, products and procedures. Maintains working relationships in order to serve as a liaison to outside sales staff, employers, administrators, plan members, providers and other insurance carriers. Contributes to department goals and objectives through claims processing efforts.
Minimal Acceptable Job Qualifications
Registration/Certification/Licensure:
- N/A
Experience:
- Two years claims processing or related experience.
Education:
- High school graduate or equivalent (GED); additional course work beyond high school a plus
Job Knowledge & Skills:
- Demonstrates working knowledge of the English language, verbal and written.
- Demonstrates working knowledge of general office procedures including organization of workload and operation of basic office equipment; i.e., copy machine, fax, calculator, scanner and personal computer.
- Requires basic analytical, investigative and negotiating skills in order to review and resolve a claim.
- Demonstrates strong time management and organizational skills, as well as the ability to pay attention to detail relative to the processing of accurate and timely medical claims.
Equal Opportunity Employer
Education
Preferred- High School or better
Job Summary
Full Time
$44k-56k (estimate)
05/09/2024
07/08/2024
ceolutheran-hosp.com
Fort Wayne, IN
<25
Related Companies
The job skills required for Claims Examiner include Claim Processing, Time Management, Attention to Detail, Organizational Skills, Negotiating, 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.
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.
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.
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