Claims Examiner
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At a glance
Job overview
Beacon Hill is hiring a remote Claims Examiner on a contract basis through the end of the year, reviewing and evaluating insurance claims, investigating documentation, determining coverage, communicating with stakeholders, and ensuring compliance.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Job Duties
Beacon Hill was founded to set a new standard in search, career placement and flexible staffing.
Beacon Hill is hiring! We have partnered with a health insurance company in hiring a Claims Examiner to start immediately. This position is 100% remote and is a contract role through the end of the year.
What You'll Do
Review and evaluate incoming insurance claims for accuracy, completeness, and eligibility
Investigate claims by gathering documentation, medical records, policy information, and supporting evidence
Determine coverage, liability, and claim outcomes based on policy provisions and company guidelines
Communicate with policyholders, healthcare providers, attorneys, brokers, and internal stakeholders regarding claim status and requirements
Analyze medical documentation and claim-related information to make informed decisions
Authorize claim payments, settlements, denials, or referrals as appropriate
Maintain accurate and detailed claim files within the claims management system
Identify potential fraud indicators and escalate concerns when necessary
Ensure compliance with insurance regulations, company policies, and service standards
Respond to inquiries and resolve claim issues in a timely and professional manner
Collaborate with internal teams to improve claims processes and customer experience
Monitor claim progress and manage a caseload efficiently while meeting productivity goals
Qualifications
Bachelor's degree preferred
2+ years of experience in insurance claims handling, claims examination, claims adjudication, or related insurance operations
Experience reviewing medical, disability, life, accident, health, or professional liability claims preferred
Strong analytical, investigative, and decision-making skills
Ability to interpret insurance policies and coverage provisions
Excellent written and verbal communication skills
Strong attention to detail and organizational skills
Ability to manage multiple priorities in a fast-paced environment
Proficiency with Microsoft Office Suite and claims management systems
Customer-focused mindset with a commitment to quality serviceBeacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.
California residents: 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.
If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com .
Benefits Information:
Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.
We look forward to working with you.
Beacon Hill. Employing the Future (TM)
Apply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk5Njk2LjEzNzk4QGJlYWNvbmhpbGxjb21wLmFwbGl0cmFrLmNvbQ
Minimum Education Required
Not Specified
Minimum Experience Required
Not Specified
Shift
First (Day)
Number of Openings
1
Compensation
$25.00 - $27.00 / Hourly
Postal Code
55155
Job Type
Full Time
Place of Work
On-site
Requisition ID
59466
Job Benefits
See job description
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