Member Claims Examiner
Collective Health(1 month ago)
About this role
The Member Claims Examiner at Collective Health applies subject-matter expertise in medical plan operations and regulations to support accurate, compliant claims outcomes. The role emphasizes delivering excellent member experiences while working with cross-functional teams and contributing to process improvements. The position also involves supporting and mentoring junior team members to elevate team performance.
Required Skills
- Claims Adjudication
- Investigations
- Claims Processing
- Medical Coding
- Regulatory Compliance
- Network Relations
- Medical Terminology
- Analytical Thinking
- Problem Solving
- Communication
+4 more
Qualifications
- Bachelor's Degree
- CPC
- CCS
About Collective Health
collectivehealth.comCollective Health is a healthcare benefits platform that provides an integrated solution for employers to administer self-funded health plans, manage costs, and support their people. It combines cloud-based plan administration, claims processing, data analytics, and care navigation to simplify benefits management and improve the member experience. Employers use Collective Health to increase transparency into spending, reduce waste, coordinate care, and deliver more personalized, concierge-style support to employees.