Claims Examiner - Philadelphia, PA
MSCCNPhiladelphia, Pennsylvania, United States
Posted February 21, 2026
Full Time
About the Company
MSCCN is a 501(c)(3) nonprofit dedicated to connecting military families—spouses, caregivers of war‑wounded, widows, and National Guard or Reserve members—to meaningful employment opportunities. The organization offers a comprehensive suite of no‑cost services, including one‑on‑one job placement assistance, live on‑demand employment training, resume development, job‑prep lessons, and career coaching. By focusing on the unique challenges faced by military personnel and their families, MSCCN tailors its support to ensure candidates are equipped with the skills and confidence needed to succeed in the civilian workforce. Its distinctive value lies in providing fully funded, personalized career resources that empower military families to achieve long‑term economic stability and professional fulfillment.
Job Description
The Claims Examiner reviews and adjudicates claims based on provider and health plan contractual agreements and claims processing guidelines.
Requirements
- Comply with internal processes and procedures
- Review, research, analyze, and process complex healthcare claims
- Escalate claim and/or system issues to Team Lead or Supervisor
- Create a professional environment that fosters teamwork and cooperation
- Meet department quality and production requirements
- Process claims for multiple Lines of Business
- Understand processing rules for multiple lines of business
