The Claims Examiner plays a pivotal role in coding and processing claims related to medical, dental, and vision services, while ensuring adherence to policy directives and accuracy standards. Essential responsibilities include upholding productivity benchmarks, addressing escalated claims issues, and coordinating benefits to establish eligibility for final payments. Applicants should have 3-5 years of relevant experience in the claims or employee benefits sector and must hold an associate degree or a comparable qualification. A strong grasp of ICD-10, CPT, and HCPCS coding is essential, in addition to robust analytical capabilities and proficiency with computer systems.
BRMS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
