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Medical Claims Examiner

Medical claims examiners verify insurance claims and related documentation. This career doesn't require formal education and involves working in an office. Continue reading this article to learn more about medical claims examiners.

Inside Medical Claims Examination

Medical claims examiners make sure that healthcare providers follow insurance procedures and submit claims correctly. They confirm that the cost of the procedures accurately reflects the given diagnosis, and they might also verify claims to see whether certain treatments, tests or procedures are reasonable based on a patient's condition. Medical claims examiners ultimately authorize, deny or refer the claim. They can specialize in individual or group plans, as well as different types of drug claims. According to the U.S. Bureau of Labor Statistics (BLS), health or life insurance companies employ most claims examiners (www.bls.gov).

Students looking for medical claims examiner training have a number of educational choices after they leave high school. Training programs can also help them enter a variety of related positions. If you're looking for free resources to help make career or educational decisions, Study.com is here to help.

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