Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job.Welcome pageReturning Candidate? Claims ExaminerJob Location US-MI-DetroitJob ID 2017-4823Category ClaimsBusiness Line CMC Corporate Overview Who we are: Meridian is a family-owned, family-operated company of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry. We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in five different states (Michigan, Illinois, Indiana, Kentucky, and Ohio). Our employees work hard, play hard, and give back. Meridian employees enjoy: Happy hours, special events, company sports teams, potlucks, Bagel Fridays, weekly Executive Lunches, and volunteer opportunities. A Day in the Life of a Claims Examiner: The Claims Examiner is responsible for processing claims in a highly efficient manner meeting or exceeding claims production and quality goals. Responsibilities Process claims in accordance with the plan benefits, authorization requirements, coordination of benefits, subrogation, and state insurance mandatesOutgoing claim department phone callsMeet or exceed claim production goals as set by management while meeting or exceeding the department quality goalsMaintain a quality level of 96% or betterHandle investigation and data input of coordination of benefits and subrogation informationAssist with special projects related to department process improvements, fraud, waste and abuse identification or other issuesPerform other duties as assigned Qualifications What you can bring to Meridian:High school diploma is required.Pursuit of a Bachelors degree or Fellow designation from the Academy for Healthcare Management (AHM) is preferred.0-6 months of previous experience in claims processing is preferred.Knowledge of Managed Care.Knowledge of medical terminology, ICD-10, and CPT codesWhat Meridian can offer you:Our healthcare benefits include a variety of PPO plans that are effective on the first day of employment for our new full-time team members.Opportunity to work with the industrys leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.Meridian offers 401k matching that is above the national average.Full-time MHP employees are eligible for tuition reimbursement towards Bachelors or Masters degrees.Meridian Health Plan was named Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian. Equal Opportunity EmployerOptionsApply for this job onlineApplyShareSorry the Share function is not working properly at this moment. Please refresh the page and try again later.Share on your newsfeed Connect With Us! Not ready to apply? for general consideration. Software Powered by iCIMS