Medical Claims Examiner

Job Summary A temp-to-hire opportunity is available for a Medical Claims Examiner in Bossier City, LA. This role is ideal for a detail-oriented claims professional with experience reviewing medical, dental, and short-term disability claims in a healthcare services environment. The Medical Claims Examiner will verify claim information, review medical necessity, apply plan benefits, and determine whether claims should be authorized, denied, or sent for additional information. This position offers a Monday through Friday schedule, healthcare options, PTO, and the opportunity to grow with a supportive team that values accuracy, collaboration, sound judgment, and consistent performance. Key Responsibilities Review medical, dental, and short-term disability claims for accuracy, completeness, and benefit eligibility. Analyze diagnosis codes, procedure codes, plan documents, and submitted medical information to determine claim payment status. Process primary and secondary claims, including coordination of benefits determinations. Authorize, deny, or request additional documentation for claims based on plan guidelines and claim details. Communicate with group contacts, providers, and patients by phone or written correspondence as needed. Maintain a high level of claims processing accuracy, with a goal of 95% or greater accuracy. Compensation and Benefits Pay range: $14 to $17. Schedule: Monday through Friday. Job type: Temp-to-hire. Benefits: Healthcare options and PTO. Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: The pay transparency policy is available here: For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #J-18808-Ljbffr AppleOne Employment Services