Facets Claims Examiner — Contract, Hourly

Huron Consulting Group Inc.; United States; Remote; USD 41,000 - 48,000; Part time

Job summary

Huron Consulting Group is seeking an experienced Facets Claims Examiner for an hourly Project Consultant assignment in the United States. You will manually review and process healthcare claims within Facets, focusing on complex scenarios.

You will validate COB/ITS Home/Host processing, interpret benefits and rules, and document decisions. This production environment requires accuracy, speed, and clear written and verbal communication.

Qualifications

• Must have current experience as a Facets Claims Examiner in healthcare claims.
• Experience processing complex or exception-based claims is required.
• Experience with COB or ITS Home/Host is necessary.
• Ability to analyze claim details and supporting docs for accurate decisions.
• Strong attention to detail and quality-focused.
• Ability to work in a production-oriented, deadline-driven environment.

Responsibilities

• Manually review, evaluate, and process healthcare claims in Facets.
• Research and resolve complex claim scenarios requiring interpretation of benefits and rules.
• Handle COB or ITS Home/Host processing, validating payer responsibility.
• Identify discrepancies and document processing decisions clearly.
• Collaborate with team and client stakeholders to achieve timely resolutions.

Skills

Attention to detail

Written and verbal communication

Deadline-driven

Tools

Facets claims processing

Job description

Huron Consulting Group is seeking an experienced Facets Claims Examiner for an hourly Project Consultant assignment in the United States. You will manually review and process healthcare claims within Facets, focusing on complex scenarios.

You will validate COB/ITS Home/Host processing, interpret benefits and rules, and document decisions. This production environment requires accuracy, speed, and clear written and verbal communication.