Claims Examiner

Gainwell Technologies

. Review, evaluate, and process insurance claims received electronically or through written documentation .

Posted 11/12/2026full-timeRemote • Wisconsin • United StatesJuniorMid-Level💰 $30,500 - $43,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance claims processing, including eligibility verification and claims resolution. Strong analytical and organizational skills are essential for maintaining accuracy and productivity in a fast-paced environment.

Highest-signal resume keywords

Insurance Claims ProcessingEligibility VerificationAnalytical SkillsAttention To DetailMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance TerminologyClaims Processing ProceduresData EntryHealthcare OperationsDocumentation Management

Soft Skills

Organizational SkillsProblem-Solving SkillsEffective Communication

Tools & Technologies

Computer ApplicationsMultiple Systems Navigation

Industry Keywords

InsuranceHealthcare Administration

About the role

Key responsibilities & impact

Review, evaluate, and process insurance claims received electronically or through written documentation
Verify insurance eligibility, coverage information, policy details, and supporting documentation
Research claim discrepancies and investigate processing issues
Identify necessary corrections, adjustments, or additional information needed to resolve claims
Respond to claim-related inquiries from customers, providers, and internal teams
Maintain accurate records and documentation
Manage assigned claims workloads and meet productivity and quality standards
Escalate complex claims or discrepancies requiring additional review or approval

Requirements

What you’ll need

High school diploma or GED required
Additional education or training in healthcare administration, insurance, or a related field preferred
Two or more years of experience in insurance claims processing, healthcare operations, administrative support, or a related field
Knowledge of insurance terminology, claims processing procedures, eligibility verification, and coverage requirements
Strong analytical, organizational, and problem-solving skills
Excellent attention to detail and accuracy
Proficiency with computer applications, data entry, and Microsoft Office
Ability to navigate multiple systems and communicate effectively

Benefits

Comp & perks

Flexible hours and work flexibility
Work-life balance
Continuous learning and career development
Medical, dental, and vision coverage
401(k) with company matching eligibility after 90 days
Paid holidays, including floating holidays
Professional development opportunities through Gainwell University
Generous, flexible vacation policy
Educational assistance
Leadership and technical development academies