At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

As a Member Claims Examiner, you'll play a critical role in reviewing and resolving complex medical claims issues, leveraging your expertise in medical plan operations to drive accurate and timely claim adjudication. With a focus on delivering exceptional member experiences, you'll utilize your in-depth knowledge of regulatory requirements, network partner relationships, and medical coding to expertly investigate and resolve intricate member issues, ensuring seamless integration of claims processing and member services.

We're seeking an experienced professional to join our team, bringing advanced analytical and problem-solving skills to review and resolve complex medical insurance claims. You'll work closely with our teams to ensure seamless integration of claims processing, member services, and regulatory compliance, driving exceptional results and member satisfaction.

What you'll do:

• Review and adjudicate complex medical insurance claims, applying industry expertise and knowledge of regulatory requirements
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