Claims Examiner

Point C(1 month ago)

United StatesOnsiteFull TimeJunior$38,000 - $41,000Claims

About this role

Point C is hiring a detail-oriented Claims Examiner to accurately process medical claims within a self-funded/TPA environment while ensuring compliance with plan documents, policies, and industry regulations. The role supports cost-containment strategies and client-focused benefit administration. The ideal candidate is organized, analytical, and able to work independently to meet production and accuracy standards.

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Required Skills

Claims Adjudication
Adjustments Processing
Denials Management
Appeals Review
Subrogation Handling
Inventory Management
Stop-Loss Compliance
Inquiry Response
Follow-Up
Production Accuracy

+9 more

Qualifications

Associate's Degree

About Point C

pointchealth.com

Point C is a health benefits partner that helps employers and brokers design and manage employee health plans. Their offerings include cost containment, care management, compliance navigation, and consumer‑driven products focused on lowering spend and improving member outcomes. Point C positions itself as a trusted, outcomes‑oriented advisor that simplifies benefits for employers and members. They work with brokers, employers and plan members to deliver integrated benefits solutions.