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Claims Examiner Intermediate
Career Insights for Claims Examiner (General)
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Scorecard
Based on Texas data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$77,901 / year median in Texas
+7% projected growth
Job Description
In the Role Evaluate claims against eligibility requirements, provisions and applicable processes. Enter data into appropriate processing systems, including correspondence with internal and external customers. Research additional information to support claim processing. Perform benefit calculations. Conduct claim investigation. Occasional special projects. Participate in departmental meetings and training activities. Process incoming and outgoing mail. Other duties as assigned. Requirements High School or GED Required 2+ year of general work experience, 6 months or more claims experience preferred Basic math skills, familiar with PC Environment Sound judgment, verbal and written communication skills Manage positive customer relationships Ability to evaluate claims against eligibility requirements OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer. Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.