Skip to content
}

Medical Claims Examiner

Salary National Average

Low Medium High
47640.0000 55980.0000 64810.0000

Supply and Demand

Candidate Supply: 133 Job Openings: 36

0 50 100

More Difficult Less Difficult

Salary Variance

Enter City, State to view local salaries and candidate demand.

Short Description:

A Medical Claims Examiner is responsible for evaluating healthcare insurance claims to determine their validity and ensure they comply with policy terms and regulatory guidelines. Their duties include reviewing medical records, verifying the accuracy of diagnoses and treatments, and ensuring that claims meet the necessary criteria for reimbursement. Medical Claims Examiners may also investigate discrepancies, approve or deny claims, and work closely with healthcare providers to resolve complex cases. Strong analytical skills, attention to detail, and knowledge of medical terminology and insurance regulations are essential for success in this role, as Medical Claims Examiners help maintain the integrity of the claims process.

Share Role Details