Kforce has a client that is looking to hire Medical Claims Examiners. The role is fully remote, but candidates need to be located with 2 hours of the client's primary office site in Aurora, CO. Top Daily Responsibilities: * Medical Claims Examiner coordinates claim operations and modifications with other areas of the organization * Monitors workflow to achieve established goals and objectives * Responsible for abiding by all guidelines, procedures, and policies * Learning and applying knowledge of medical claim/bill payment processing and medical regulations * As a Medical Claims Examiner, you will utilize knowledge of organizational policies and procedures to ensure adherence to contractual agreements and non-contracted pricing arrangements along with compliance with government regulations * Researches claims/bills for appropriate support documents and documentation * Responds to vendor and member problems, questions and complaints