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Claims Examiner

  • ... Posted on: Mar 17, 2026
  • ... Vaco Recruiter Services
  • ... Brookhaven, New York
  • ... Salary: Not Available
  • ... Full-time

Claims Examiner   

Job Title :

Claims Examiner

Job Type :

Full-time

Job Location :

Brookhaven New York United States

Remote :

No

Jobcon Logo Job Description :

Vaco Atlanta is hiring a Medicare Supplement Claims Examiner for a growing and established company. Our client is seeking an experienced claims examiner to ensure accurate claims adjudication, protect payment integrity, and help prevent fraud, waste, and abuse. This role blends technical claims expertise with analytical thinking and collaboration—ideal for someone who takes pride in accuracy, compliance, and ethical healthcare billing. Role: Claims Examiner, Medicare Supplement Location: Brookhaven, GA Job Type: Direct Hire Onsite: 100% onsite Compensation: $55,000 - $65,000 annually What You’ll Do Review and adjudicate Medicare Supplement claims in strict adherence to CMS guidelines. Analyze coverage, medical necessity, and billing accuracy; approve, deny, or request additional information. Identify and investigate potential fraud, waste, or abuse and partner with internal teams on resolution. Ensure payment accuracy and prevent overpayments or errors. Support Customer Service Representatives with guidance on complex claims and appeals. Contribute to process improvements, cost savings, and efficiency initiatives. What We’re Looking For 2–4 years of Medicare Supplement claims processing experience. Strong knowledge of Medicare Supplement plans, 837 EDI transactions, DME claims, and CMS regulations. Bachelor’s degree in healthcare administration, business, or related field (or equivalent experience). Exceptional attention to detail, analytical skills, and integrity. Proficiency with claims systems and Microsoft Office. Why Join High-impact role supporting payment integrity and compliance. Collaborative environment with opportunities to improve processes and outcomes. Meaningful work ensuring accurate, ethical healthcare reimbursement. #J-18808-Ljbffr

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Jobcon Logo Position Details

Posted:

Mar 17, 2026

Reference Number:

14660_0BFC708F3F122F9077384C94EDBC79ED

Employment:

Full-time

Salary:

Not Available

City:

Brookhaven

Job Origin:

APPCAST_CPC

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Vaco Atlanta is hiring a Medicare Supplement Claims Examiner for a growing and established company. Our client is seeking an experienced claims examiner to ensure accurate claims adjudication, protect payment integrity, and help prevent fraud, waste, and abuse. This role blends technical claims expertise with analytical thinking and collaboration—ideal for someone who takes pride in accuracy, compliance, and ethical healthcare billing. Role: Claims Examiner, Medicare Supplement Location: Brookhaven, GA Job Type: Direct Hire Onsite: 100% onsite Compensation: $55,000 - $65,000 annually What You’ll Do Review and adjudicate Medicare Supplement claims in strict adherence to CMS guidelines. Analyze coverage, medical necessity, and billing accuracy; approve, deny, or request additional information. Identify and investigate potential fraud, waste, or abuse and partner with internal teams on resolution. Ensure payment accuracy and prevent overpayments or errors. Support Customer Service Representatives with guidance on complex claims and appeals. Contribute to process improvements, cost savings, and efficiency initiatives. What We’re Looking For 2–4 years of Medicare Supplement claims processing experience. Strong knowledge of Medicare Supplement plans, 837 EDI transactions, DME claims, and CMS regulations. Bachelor’s degree in healthcare administration, business, or related field (or equivalent experience). Exceptional attention to detail, analytical skills, and integrity. Proficiency with claims systems and Microsoft Office. Why Join High-impact role supporting payment integrity and compliance. Collaborative environment with opportunities to improve processes and outcomes. Meaningful work ensuring accurate, ethical healthcare reimbursement. #J-18808-Ljbffr

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