CareOregon

Claims Specialist

• Adjudicate medical, dental and mental health claims in compliance with regulations
• Re-adjudicate, adjust or correct claims as needed
• Meet or exceed quality and production standards
• Provide excellent customer service
• Collaborate with Claims teams and other departments
• Determine eligibility and benefit levels
• Investigate third party issues as directed
• Generate letters and documents as needed
• Continuously learn and stay updated with policies

CareOregon

Claims Examiner II

Claims Examiner II