The Claims Examiner is responsible for processing and adjudicating medical, dental, vision, and mental health claims while ensuring compliance with policy guidelines. They also conduct investigations, manage overpayment recoveries, and resolve claims appeals.
The Claims Examiner is responsible for processing and adjudicating medical, dental, vision, and mental health claims while ensuring compliance with policy guidelines. They also conduct claims investigations, manage overpayment recoveries, and resolve appeals while maintaining accurate financial records.
