Opportunities for you!

Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
Free Continuing Education and certification
Tuition reimbursement, education programs and scholarships
Vacation time starts building on Day 1, and builds with your seniority
Free money toward retirement with a 403(b) and matching contributions
Great food options with on-demand ordering
Free parking and electric charging

Responsibilities

The Claims Examiner is responsible for accurately processing professional and hospital claims for Community Care Health (CCH) for in-network and out-of-network providers. This role will review and analyze claims: verifying coverage, assessing eligibility, and determining the validity of claims based on policy terms.

Education

High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Associate's Degree preferred

About the Job

Experience

1 year of medical claims processing/adjudication experience
Experience working with claims system/applications and troubleshooting preferred
Trizetto/QNXT software experience preferred
E xperience using Blue Shield or Anthem portals (e.g., verifying member eligibility, checking claim statuses, or tracking payments).
Medical Coding/Billing knowledge
Medical Terminology knowledge