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Medical Claims Examiner

Finance
Insurance Claims and Sales
Claims Specialist / Adjuster / Examiner

Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.

At a Glance

Medical Claims Examiner. Top skills: Case Management, Coordinating, Underwriting.

Avg Annual Salary

Not available

Typical Education

Varies

Experience

Varies

Job Postings

N/A

Parent Occupation (O*NET)

Claims Adjusters, Examiners, and Investigators

Median Wage

$76,790/yr

Growth (2024-34)

-5.1%

Education

High school diploma or equivalent

Skills & Requirements

Specialized Skills (9)

Case Management

5.0

Underwriting

4.8

Medical Insurance Claims

4.7

Financial Risk

4.5

Medical Records Analysis

4.3

Legal Risk

4.0

Cost Containment

3.8

Healthcare Industry Knowledge

3.7

Health Care Industry

3.6

Common Skills (7)

Coordinating

4.9

Verbal Communication Skills

4.6

Persuasive Communication

4.4

Microsoft Office

4.2

Professionalism

3.9

Customer Service

3.5

Related Specializations

Other specialized occupations in this field. Many share overlapping skills, making lateral moves more accessible.

Related Pages

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