Claims Examiner II

Immediate need for a talented Claims Examiner II This is a 06+months contract opportunity with long-term potential and is located in Olathe, KS (Hybrid). Please review the job description below and contact me ASAP if you are interested.  

Job ID: 25-83365

Pay Range: $25 - $30/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Confirm coverage of claims (accident and sickness claims, hospital cash claims, out of country medical and business-related travel claims) by reviewing policies and documents submitted in support of claims.
• Analyze coverage and communicate coverage position.
• Conduct, coordinate, and direct investigation into loss facts.
• Determine eligibility of claims and amounts owed under the terms of the contract.
• Recognize and pursue subrogation where warranted.
• Recognize and make appropriate Risk and Fraud referrals.
• Operate within our best practices guidelines, including timely reserve review, notes, payment requests, electronic diary. 
• Other duties as assigned.

Key Requirements and Technology Experience: 

• Key Skills; Claims Examiner
• medical Claim- Accident and Health
• coverage of claims

Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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