Job Details
Claims Examiner
2026-01-15 Pyramid Consulting all cities,AK
Description:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
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Immediate need for a talented Claims Examiner. This is a Fulltime opportunity with long-term potential and is located in Tampa, FL (Hybrid). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-88110
Pay Range: $18 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Review and process medical claims according to Plan guidelines within established turnaround time frames.
- Interpret medical plan to assure system is coded correctly.
- Review claims for legitimacy and accuracy Meet production and quality standards set for examiners
- Work Customer Service inquiries related to claim questions.
- Review correspondence submitted by members and providers and adjust all related claims if the additional documentation submitted warrants adjustment
- Key Skills;["Claim Processing", " Medicaid", "Medicare"] .
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
#Del