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Benefits Claims Examiner Salary in United States

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Average Salary for Benefits Claims Examiner in United States

The average salary of a(n) Benefits Claims Examiner in United States is $41,651.

The average hourly rate of a(n) Benefits Claims Examiner in United States is $20.02.

The average bonus of a(n) Benefits Claims Examiner in United States is $1,070.00.

Job Description:

Settles benefits claims and processes claims for payment. Assesses and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests all information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Researches claim as needed. Analyzes claims to determine extent of liability, and settles claims with claimants in accordance with policy provisions. Compares data on claim application, death certificate, or physician's statement with policy file and other company records to ascertain validity and to adjudicate the claim. Corresponds with agents and claimants, or interviews them in person to correct errors or omissions on claim forms and to investigate questionable entries. Refers most questionable claims to Claims Adjuster for further investigation and settlement. Pays claimant amount due. May investigate claims in field. Less

Settles benefits claims and processes claims for payment. Assesses and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests all information from internal or outside sources to ascertain completeness and validity... More

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