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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records, and determine if the claimants history might make the claim unviable or decide if the coverage needs to be rescinded altogether.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.


Requirements

- 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®?

As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

About Kelly®

At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.

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