Claims Examiner I
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Claims Examiner I.
Key Responsibilities
Adjudicate various claims types including medical, dental, and
vision claims while ensuring compliance with regulatory
requirements
Analyze and verify patient and medical information to determine
appropriate claim benefits and resolve discrepancies
Maintain HIPAA compliance and meet individual and departmental
productivity and quality standards
Required Qualifications
High school education or equivalent with 1-3 years of experience as
a Health Claims Examiner or in a comparable role
Minimum of one year experience as a Claims Examiner for medical,
dental, and vision claims
Basic knowledge of medical terminology and familiarity with
relevant claim forms and coding
Proficient in data entry and Microsoft Office applications
Working knowledge of ERISA claims processing guidelines
Keywords: VirtualVocations, Placentia , Claims Examiner I, Other , Vista, California
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