Just the Facts

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.