Bilingual Claims Examiner
Troy, MI ยท On-site
Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments Researches claims processing guidelines, provider contracts, fee ...
Troy, MI ยท On-site
Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments Researches claims processing guidelines, provider contracts, fee ...
Troy, MI ยท On-site
Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments Researches claims processing guidelines, provider contracts, fee ...
You will conduct thorough investigations, evaluate damage, determine coverage, and guide customers through the full claims process with professionalism and empathy. As a trusted resource, you may ...
You will conduct thorough investigations, evaluate damage, determine coverage, and guide customers through the full claims process with professionalism and empathy. As a trusted resource, you may ...
Troy, MI ยท On-site
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Troy, MI ยท On-site
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
High school diploma or GED Bachelor's degree preferred 3+ years Dental Front Desk or Dental Claims Processing experience Orthodontic claims experience preferred. Prior experience with insurance or ...
High school diploma or GED Bachelor's degree preferred 3+ years Dental Front Desk or Dental Claims Processing experience Orthodontic claims experience preferred. Prior experience with insurance or ...
Wixom, MI ยท On-site
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Wixom, MI ยท On-site
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
You will conduct thorough investigations, evaluate damage, determine coverage, and guide customers through the full claims process with professionalism and empathy. As a trusted resource, you may ...
You will conduct thorough investigations, evaluate damage, determine coverage, and guide customers through the full claims process with professionalism and empathy. As a trusted resource, you may ...
Bachelor's degree preferred * 3+ years Dental Front Desk or Dental Claims Processing experience * Orthodontic claims experience preferred. * Prior experience with insurance or accounts receivable ...
Bachelor's degree preferred * 3+ years Dental Front Desk or Dental Claims Processing experience * Orthodontic claims experience preferred. * Prior experience with insurance or accounts receivable ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Setting expectations for the remainder of the claim process, and initiating documentation in the ... Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims ...
Bachelor's degree preferred * 3+ years Dental Front Desk or Dental Claims Processing experience * Orthodontic claims experience preferred. * Prior experience with insurance or accounts receivable ...
Bachelor's degree preferred * 3+ years Dental Front Desk or Dental Claims Processing experience * Orthodontic claims experience preferred. * Prior experience with insurance or accounts receivable ...
$23 - $24/hr
This role is responsible for reviewing and processing warranty claims, including conducting technical analyses to ensure compliance with established Warranty Policies and Procedures in effect at the ...
$23 - $24/hr
This role is responsible for reviewing and processing warranty claims, including conducting technical analyses to ensure compliance with established Warranty Policies and Procedures in effect at the ...
Negotiate claim settlements with insureds, contractors, and other parties in the claims process within defined authority limits. * Maintain claim files and documents in accordance with company policy ...
Negotiate claim settlements with insureds, contractors, and other parties in the claims process within defined authority limits. * Maintain claim files and documents in accordance with company policy ...
Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Farmington Hills, MI ยท On-site
$48K - $63K/yr
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Farmington Hills, MI ยท On-site
$48K - $63K/yr
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Process payments and invoices by reviewing and issuing payments in accordance with company policies ... Familiarity with claims management software preferred. * Demonstrated successful ability to build ...
Dearborn, MI ยท On-site
The Claims Specialist provides program claim review, claim entry assistance to both dealers and ... processes and reference material Qualifications Prior OEM claim entry experience is preferred, but ...
Dearborn, MI ยท On-site
The Claims Specialist provides program claim review, claim entry assistance to both dealers and ... processes and reference material Qualifications Prior OEM claim entry experience is preferred, but ...
$11.29 - $12.52
2% of jobs
$12.52 - $13.75
6% of jobs
$13.75 - $14.98
9% of jobs
$15.62 is the 25th percentile. Wages below this are outliers.
$14.98 - $16.21
14% of jobs
$16.21 - $17.45
18% of jobs
The median wage is $17.48 / hr.
$17.45 - $18.68
17% of jobs
$19.36 is the 75th percentile. Wages above this are outliers.
$18.68 - $19.91
16% of jobs
$19.91 - $21.14
7% of jobs
$21.14 - $22.37
4% of jobs
$22.37 - $23.60
4% of jobs
$23.60 - $24.84
2% of jobs
$11
$18
$24
A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.
| Aspect | Claims Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require certification | High school diploma; certification often preferred |
| Work Environment | Office setting, processing claims efficiently | Office setting, reviewing and approving claims |
| Employer & Industry Usage | Insurance companies, healthcare providers | Insurance companies, government agencies |
| Common Search & Comparison | Claims Processor vs Claims Examiner |
Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description:
Are you an experienced Claims Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Daily Responsibilities: ย
Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments
Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error
Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and prevent provider problem areas
Hours for this Position:
Mon-Fri 8am-4:30pm
Advantages of this Opportunity:ย
Competitive salary, negotiable based on relevant experience
Acquire new skills and learn new knowledge
Fun and positive work environment
Qualifications/ Requirements:ย
Must be bilingual in Spanish
Claims, Appeals, Denials experience for an insurance company or hospital or medical office or financial company
HS Diploma/GED
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003