Claims Examiner II
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Claims Examiner II.
Key Responsibilities
Review and process medical, dental, and vision claims in compliance
with regulatory requirements
Analyze claims and resolve discrepancies by verifying pricing and
confirming prior authorizations
Assist in resolving escalated issues from internal customers and
maintain productivity and quality standards
Required Qualifications
High school education or equivalent with 5-7 years of experience in
health claims examination
A minimum of 2 years' experience specifically in medical, dental,
and vision claims
Knowledge of medical terminology and familiarity with relevant
claim forms and codes
Proficiency in data entry and Microsoft Office applications
Working knowledge of ERISA claims processing guidelines
Keywords: VirtualVocations, Lake Elsinore , Claims Examiner II, Other , Vista, California
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