Medical Claims Examiner

Job Description

Kelly Services is currently seeking a Medical Claims Examiner to work for a company in Rome, GA. Will be responsible for completing the review of claims and determine if the claim is viable and whether or not the insureds coverage is contestable. Will also review all documentation sent in by the insured, conduct a thorough review of medical records, and determine if the claimants history might make the claim unviable or decide if the coverage needs to be rescinded altogether. Hands-on experience in the medical industry is a plus in order to have an understanding of medical decisions a doctor might make. Once the Claims Medical Examiner has determined the viability of the claim, they will pass it on to the Adjuster to handle the rest of processing. Company may be willing to consider part-time employment.


- 3-5 years nursing experience or other equivalent hands-on medical industry experience
- Intermediate knowledge of medical terminology and conditions
- Intermediate knowledge of medical prognoses and treatment
- Excellent oral and written communication skills
- Experience using Microsoft Word and Excel (Intermediate Knowledge)
- Highest standards of accuracy / attention to detail

Why Kelly®?

At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100 companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

About Kelly Services®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit and connect with us on Facebook, LinkedIn and Twitter.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.

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