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Senior Insurance Claims Adjuster

Company: VirtualVocations
Location: Bakersfield
Posted on: September 14, 2023

Job Description:

A company is looking for a Senior Insurance Claims Adjuster.
Key Responsibilities:

Process a minimum of 1,000 medical, dental, and vision claims per week while maintaining quality goals
Review, analyze, and make determinations on claims for cost, treatment necessity, and fraud
Consult with professionals and gather necessary information for claim evaluation

Required Qualifications:

Minimum of five years of medical claims analysis experience, with recent claims processing experience
Prior experience with a Third-party Administrator (TPA) is preferred
Knowledge of CPT and ICD-10 coding
Strong analytical skills and knowledge of computer systems
Continuing education in relevant areas affecting group health and welfare plans

Keywords: VirtualVocations, Bakersfield , Senior Insurance Claims Adjuster, Other , Bakersfield, California

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