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← Point C

Claims Examiner

Point C
Location
Bellingham, Washington
Posted
1 month ago
Department
Claims
What they actually want (must-haves)
  • At least 2+ years of experience in insurance claims processing
  • Experience with Third Party Administrator (TPA) or self-funded claims administration
  • Ability to interpret and apply plan documents for accurate claims adjudication
  • Demonstrated understanding of claim review processes and benefit plan design
  • Experience reviewing and finalizing claim payments for accuracy
  • Working knowledge of CPT and ICD-10 coding
Nice to have
  • Experience with HealthPac, El Dorado, Javelina, or VBA systems
  • Associate Degree Preferred
What the job really is

As a Claims Examiner at Point C, you will be responsible for accurately processing medical claims, ensuring compliance with plan documents and industry regulations. Your daily tasks will include adjudicating new claims, managing appeals, and responding to inquiries while maintaining production and accuracy standards. The role requires a detail-oriented approach and the ability to work independently in a fast-paced environment.

Benefits
  • Comprehensive medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer match
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
  • Paid time off (PTO) and disability leave
  • Employee Assistance Program (EAP)
Things to weigh
  • No specific mention of remote work options
  • Salary range is relatively low ($19 - $22 USD)
  • Role may involve overtime
  • Individual compensation may vary based on experience and qualifications
Job score2.8/5
Benefits3/5
Freshness4/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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