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Robert Half Claims Examiner in Canton, Massachusetts

Description We are offering a short term contract employment opportunity for a Claims Examiner in CANTON, Massachusetts. The role is centered upon providing efficient support to the Claim Services Department in an office setting. As a Claims Examiner, you'll be tasked with a range of responsibilities from preparing items for imaging to handling customer service calls, all to ensure smooth operations within the department.

Responsibilities:

• Efficiently prepare new claims, correspondence, and closed claim files for imaging.

• Provide back up support to the data imager.

• Index relevant items for pending and closed claims.

• Sort all mail related to Claims Services.

• Distribute claim kits as requested.

• Handle routine status customer service calls, document calls and refer complex calls to the Examiners.

• Mail claim checks and manage returned mail.

• Set up new claims as needed.

• Scan correspondence, medical records, and other claim forms and correspondence.

• Retrieve, review, and distribute faxes and emails received via the claim department inbox.

• Assist in researching information on MASS.DOR/CSLN/LEXIS NEXIS.

• Perform other duties and special projects as required. Requirements • Minimum of 1 year experience in a claims examiner role or similar position

• Proficiency in answering inbound calls in a timely and professional manner

• Demonstrated experience in claim administration

• Knowledge and experience in handling insurance claims, specifically medical and disability claims

• Familiarity with healthcare claim processing

• Strong understanding of basic medical terminology

• Excellent communication skills, both written and verbal

• Ability to work in a fast-paced environment and meet deadlines

• High level of accuracy and attention to detail

• Demonstrated problem-solving skills

• Ability to work well in a team environment.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .

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