Senior Insurance Claims Adjuster
Company: VirtualVocations
Location: Riverside
Posted on: September 14, 2023
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Job Description:
A company is looking for a Senior Insurance Claims Adjuster.
Key Responsibilities:
Process a minimum of 1,000 medical, dental, and vision claims per
week while maintaining quality goals
Review, analyze, and make determinations on claims for cost,
treatment necessity, and fraud
Consult with professionals and gather necessary information for
claim evaluation
Required Qualifications:
Minimum of five years of medical claims analysis experience, with
recent claims processing experience
Prior experience with a Third-party Administrator (TPA) is
preferred
Knowledge of CPT and ICD-10 coding
Strong analytical skills and knowledge of computer systems
Continuing education in relevant areas affecting group health and
welfare plans
Keywords: VirtualVocations, Riverside , Senior Insurance Claims Adjuster, Other , Riverside, California
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