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Claims Examiner - Fresno, CA

Company: PrideStaff Financial
Location: Fresno
Posted on: March 26, 2020

Job Description:

We're hiring for a claims professionals to join one of Fresno's largest--Health Benefits Administrator.-- A Claims Examiner is required to review reports by claimants and Claims Adjusters, approve or reject a claim and assist Claims Adjusters in times of high case volume. Claims Examiners are confident decision-makers playing an important oversight role in the claims process. The role comes with the responsibility of overseeing the work of their colleagues and ensuring that high standards are always met. Responsibilities:Diligently review reports to ensure that no errors have been made in the appraisal process. Determine whether payouts are reasonable. Approve, reject or refer a claim to a specialist. Meet with claimants and settle disputes. Ensure compliance with regulatory standards, company policy and guidelines. Provide assistance to Claims Adjusters to manage the volume of cases. Consult with clients.-- Requirements: High school diploma-- Sound administrative and organizational skills. Great attention to detail. Good interpersonal skills. Excellent verbal and written communication. Demonstrated decision-making ability.

Keywords: PrideStaff Financial, Fresno , Claims Examiner - Fresno, CA, Other , Fresno, California

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