Health Claims Examiner – Remote

Play a key role in ensuring accurate and timely processing of health claims while supporting providers, plan participants, and customers with professionalism and care.

About Allegiance Benefit Plan Management
Allegiance Benefit Plan Management delivers innovative benefit solutions with a focus on accuracy, efficiency, and customer service. We’re committed to providing high-quality claim processing and support, backed by a strong benefits package and opportunities for professional growth.

Schedule

  • Full-time
  • Remote or in-office option available
  • Flexible, team-oriented work environment

What You’ll Do

  • Accurately process medical, dental, vision, and prescription drug claims
  • Verify documentation, review coding, and ensure compliance with plan guidelines
  • Collaborate with providers, participants, and payers to resolve claims issues
  • Draft correspondence to participants and providers regarding benefits and determinations
  • Answer benefit and claim inquiries via phone and written communication
  • Research and resolve problematic claims, appeals, and disputes
  • Support large case management assignments and assist with subrogation claims
  • Contribute to audits, plan set-ups, and system changes as needed

What You Need

  • High school diploma or GED required
  • Strong oral and written communication skills
  • Typing proficiency of 45 wpm and solid PC skills (Windows, Word, claims processing software)
  • Excellent attention to detail and accuracy (99% financial accuracy, 95% procedural accuracy expected)
  • Ability to read and interpret plan documents and insurance regulations
  • Strong interpersonal skills and ability to handle confidential information
  • Basic math skills and analytical problem-solving ability
  • Customer service experience preferred; claims processing knowledge strongly valued

Benefits

  • $19.00 per hour
  • Full benefits package
  • Medical, dental, and vision coverage
  • Paid time off and holidays
  • Retirement plan options
  • Professional growth opportunities within the organization

This role is perfect for detail-oriented professionals who thrive in a structured, accuracy-driven environment.

Be part of a team that values precision, professionalism, and customer care in every claim processed.

Happy Hunting,
~Two Chicks…

APPLY HERE