Claims Examiner

Job Description

To qualify for this position at the GS-8 level, you must have: At least one (1) full year of specialized experience that equipped you with the knowledge, skills, and abilities to successfully perform the duties of this position (Claims Examiner). To be creditable, specialized experience must have been equivalent to at least the next lower grade level (GS-7) in the Federal service. Specialized experience is defined as experience processing medical claims and applying comprehensive knowledge of provider relations, reimbursement methods, coordination of benefits, and medical cost-recovery practices. Note: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hour worked per week. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.