HEALTH/MEDICAL CLAIMS EXAMINER

Health/Medical Claims Examiner: A program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation. Includes instruction in health and medical insurance processes and procedures; health insurance law and regulations; health care industry law; record-keeping; analytic and investigatory techniques; evaluation methods; field operations methods; office procedures; related software applications; oral and written communications skills; interviewing techniques; and professional standards and ethics.