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Claims Examiner

CommunityCare HMO, Inc.

CommunityCare HMO, Inc. seeks a Claims Examiner to review claims prior to adjudication, using knowledge and decision-making to determine actions to pay, deny or adjust. The role requires accuracy, efficiency, and adherence to processing standards. Responsibilities include examining pended claims, routing complex cases, and entering data to compute payments. The position emphasizes attention to detail, mathematical accuracy, and effective communication in a collaborative environment. #J-18808-Ljbffr

Vacancy posted 6 hours ago
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