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The graph below is a comparison of salary data for 10 jobs in U.S. National Average, U.S. National Average, as provided by the free SalaryExpert® Salary Report and Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Claims Adjudicator (Entry):
Adjudicates or processes health and dental benefit claims for payment.

Under direct supervision, reviews and adjudicates claims. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and... [+] More

Claims Adjudicator (Entry):
Adjudicates or processes health and dental benefit claims for payment.

Under direct supervision, reviews and adjudicates claims. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and other records to evaluate completeness and validity of claim. Analyzes and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and or reason for denial. Requests information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. 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. Routes claims requiring additional information or high-level decision-making. Researches claims as needed. Communicates with agents and claimants to correct errors or omissions on claim forms. This is an entry level position and typically does not require previous claims processing experience. (Source: eDOT Job Description) [-] Less

Greensboro, NC, Miami, FL, Washington, DC, Brooklyn, NY, Denver, CO, San Antonio, TX, Austin, TX, Philadelphia, PA, San Diego, CA, Milwaukee, WI, Tampa, FL, Cincinnati, OH, Indianapolis, IN, Las Vegas, NV, Seattle, WA, Fort Lauderdale, FL, Sacramento, CA, Charlotte, NC, Columbus, OH, Jacksonville, FL, Nashville, TN, Cleveland, OH, Birmingham, AL, Baton Rouge, LA, Pittsburgh, PA

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Contract Compliance Representative (Entry), Data Entry Operator Lead, Data Entry Supervisor, Clinical Research Technician (Entry), Enrollment Representative (Entry), Adjudicator, Claims Adjudicator (Mentor), Claims Adjudicator Medical, Claims Adjudicator, Member Services Representative (Entry), Premium Billing Account Analyst (Entry), Data Entry Operator

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