Avg. Base Hourly Rate (USD)
The average hourly pay for a Medical / Health Claims Examiner is $16.28
What Do Medical / Health Claims Examiners Do?
Medical and health claims examiners generally work in an office setting, but may be required to go into the field if a situation requires hands-on investigation. Those in this position serve customers of medical insurance companies by determining insurance coverage, claim examination, and resolution, as well as maintaining and documenting customer service actions and ensuring legal compliance. They also determine covered medical insurance losses according to policies/certificates, establish …Read more
- Make claim settlement determinations to authorize or deny payment based on policy and practices.
- Update claims with additional information as required and monitor itemized billings for unauthorized charges.
- Examine and verify accuracy and completeness of complex medical claims according to regulatory guidelines.