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Claims Examiner
Insight Global
Insight Global Folsom, CA
$62k-79k (estimate)
Full Time | Business Services 1 Week Ago
Save

Insight Global is Hiring a Claims Examiner Near Folsom, CA

Insight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite role, 5 days a week onsite. This person will be responsible for ensuring claims are coded and processed correctly while meeting production requirements. This person will process claims by performing the following duties: adjudicating medical claims, applying coordination of benefits as outlined in plan guidelines, working with providers to gather the necessary documents to make final payment determination on claims, etc.

Title: Claims Examiner 1

Duration: Full-Time, Direct Hire Opportunity

Location: 5 days a week onsite in Folsom, CA 95630

Requirements:

  • 3 years’ experience in the *employee benefits* industry as a Full Cycle Medical Claims Examiner Processor.
  • Proficient in ICD-10, CPT, and HCPCS codes.
  • Computer skills, including Word, Excel, and Outlook.
  • Written and verbal communication skills.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$62k-79k (estimate)

POST DATE

06/07/2024

EXPIRATION DATE

06/27/2024

WEBSITE

insightglobal.com

HEADQUARTERS

BALTIMORE, MD

SIZE

500 - 1,000

FOUNDED

2001

CEO

TYLER HODGINS

REVENUE

$500M - $1B

INDUSTRY

Business Services

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About Insight Global

We arent just a staffing company. Were a company that cares for others. It might sound lofty, but it's the idea that gets us up everyday, determined to make it true. Insight Global is a company that people can anchor to in moments of triumph, struggle, and every time in between. Whoever you are and wherever you come from, you matter to us and we have your back. Together, anything is possible.

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The job skills required for Claims Examiner include Verbal Communication, CPT, 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.

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