Claim review (Physicians only)

• Diligently review reports to ensure that no errors have been made in the inpatient process.
• Determine whether bills are right .
• Refer for the approvals team to get approvals for needed claims .
• Ensure compliance with regulatory standards, company policy and guidelines.
• Provide assistance to claims adjusters to manage the volume of cases.
• Complete all review for claims before the round to be processed by billing team.
• Assist attorneys and other specialists when defending the company against contestation.

Claims Examiner Requirements:

• bachelors of medicine is a must . 
• military status for males is exempted or done 
• full time (48 hours a week)