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The graph below is a comparison of salary data for 10 jobs in Horsham, Pennsylvania, 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 (Mentor):
Adjudicates or processes health and/or dental benefit claims for payment.

In a senior capacity, reviews and adjudicates complex or specialty claims and provides training to lower level Claims Adjudicators. Determines whether to return, suspend, deny or pay claims within established policies... [+] More

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

In a senior capacity, reviews and adjudicates complex or specialty claims and provides training to lower level Claims Adjudicators. 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. Adjusts claims that have been denied, overpaid or underpaid. Routes claims requiring additional information or high-level decision-making. Researches claims and appeals as needed. Requests information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Analyzes claims to determine extent of liability and settles claims with claimants in accordance with policy provisions. Corresponds with agents and claimants to correct errors or omissions on claim forms, and to investigate questionable entries. Acts as Team Leader, as needed. This position typically requires at least four years of claims processing experience. (Source: eDOT Job Description) [-] Less

A renter's cost of living for someone making $48,001 in Horsham, Pennsylvania is 111.5% of the US National Average. For more information, or to compare cost of living data between two cities, click here.

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Contract Compliance Representative (Mentor), Clinical Research Technician (Mentor), Enrollment Representative (Mentor), Laboratory Technician (Mentor), Nurse Case Manager (Mentor), Claims Supervisor, Health Data Analyst (Mentor), Adjudicator, Claims Adjudicator (Entry), Claims Adjudicator Medical, Claims Adjudicator, Insurance Claims Agent, Premium Billing Account Analyst (Mentor), Employment & Claims Aide, Claims Examiner, Insurance Claims Clerk, Benefits Claim File Clerk

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