Pharma Claims Examiner — Data-Driven & Compliance-Focused

Mindlance; Orlando (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

A national recruiting company is seeking a detail-oriented Business Claim Examiner in Orlando, Florida. The role involves verifying claims submissions, ensuring accuracy, and navigating multiple platforms. Strong data entry skills and a moderate knowledge of drugs are essential. Candidates should be available for a contract of 6 months, with working hours between Monday and Friday. This position offers a negotiable pay scale.

Qualifications

• Verify member submitted claims forms and eligibility accurately.
• Provide accurate and timely processing of claims.
• Navigate multiple platforms for claim submission.

Responsibilities

• Process claims according to client guidelines.
• Communicate with internal departments to resolve issues.
• Analyze claims for potential fraud.

Skills

High data entry proficiency

Moderate knowledge of drugs and drug terms

Strong communication skills

Job description

A national recruiting company is seeking a detail-oriented Business Claim Examiner in Orlando, Florida. The role involves verifying claims submissions, ensuring accuracy, and navigating multiple platforms. Strong data entry skills and a moderate knowledge of drugs are essential. Candidates should be available for a contract of 6 months, with working hours between Monday and Friday. This position offers a negotiable pay scale.