Claims Examiner - Remote

Gainwell Technologies; Idaho; Remote; USD 45,000 - 60,000; Full time

Job summary

Gainwell Technologies is seeking a Claims Examiner to support accurate claims processing. This remote role involves reviewing claims data, ensuring compliance, and collaborating with teams to resolve discrepancies. Ideal candidates possess strong organizational and communication skills.

Benefits

Career Growth Opportunities

Work Flexibility

Learning and Development

Qualifications

• Experience in claims processing or related fields.

Responsibilities

• Review and process healthcare claims ensuring accuracy and compliance.
• Document claim status and maintain organized records.
• Identify discrepancies and collaborate to resolve issues.

Skills

Organizational Skills

Communication Skills

Attention to Detail

Tools

Microsoft Office

Claims Processing Software

Job description

Join to apply for the Claims Examiner - Remote role at Gainwell Technologies.

Senior Professional Recruiter at Gainwell Technologies

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell offers rewards such as career growth opportunities, work flexibility, learning, and development.

Summary

As a Claims Examiner at Gainwell, you will support the accurate and timely processing of claims by analyzing claims data, reviewing and processing claims to ensure compliance with guidelines and standards.

Your role in our mission

• Review and process healthcare claims in line with policies and regulations, ensuring accuracy and compliance.
• Document claim status, decisions, and follow-up actions, maintaining organized records for audit and reporting.
• Participate in quality control processes to ensure claims are processed timely and accurately.
• Identify discrepancies and collaborate with teams to resolve issues efficiently.
• Maintain up-to-date knowledge of claims policies, industry regulations, and service requirements.

What we're looking for

• Experience in claims processing or related fields.
• Strong organizational skills with attention to detail and accuracy.
• Excellent communication skills, both written and verbal.
• Ability to manage time and prioritize tasks effectively in a fast-paced environment.
• Proficiency in Microsoft Office and claims processing software.

What you should expect in this role

• Remote work from a secure location, such as a home office, five days a week.
• Reliable internet connection.
• Collaborate with internal teams to improve workflows and resolve discrepancies.
• Contribute to quality improvement initiatives.
• Maintain professionalism in interactions with healthcare providers and team members.
• Report metrics and issues regularly to leadership.