Dental Claims Examiner Research Paper

Running Head: WHAT ARE THE DUTIES OF A DENTAL CLAIMS EXAMINER? WHAT DISCREPANCIES DOES A DENTAL CLAIMS EXAMINER LOOK FOR? A research paper by Valerie Estrada WESTECH

Ms. Martinez MOA Class WHAT ARE THE REQUIRMENTS FOR A DENTAL EXAMINER? PG 1 What are the requirements of a Dental Examiner? According to the U.S. Bureau of Labor a claim examiner usually specialize in a particular type
Finally they verify and analyze data the company uses to settle claims with an eye on proving that claims are valid and payments are made based on company practices and procedures. Claims examiners within property and casualty insurance firms may have duties similar to those of an adjuster, but often their primary job is to review the claims submitted in order to ensure that proper guidelines have been followed. They may assist adjusters with complex and complicated claims or when a disaster suddenly greatly increases the volume of claims. CITATION jen \l 1033 (alyson)Most claims examiners work for life or health insurance companies. In health insurance companies, examiners review health-related claims to see whether costs are reasonable on the basis of the diagnosis. The examiners are provided with guides that supply information on the average period of disability, the expected treatments, and the average hospital stay, for patients with the various ailments for which a claim may be submitted. Examiners check claim applications for completeness and accuracy, interview medical specialists, and consult policy files to verify the information reported in a claim. Examiners will then either authorize the appropriate payment or refer the claim to an investigator for a more thorough review. Claims examiners usually specialize in group