MA
Senior Medical Claims Examiner
Irving, Dallas
On-site
Full-time
No salary posted3 days ago- Employment type
- Full-time · On-site
- Posted
- November 10, 2026
Hiring confidence: Sparse posting · 22/100
This posting is missing most of the signals we look for, or shows patterns common to listings that are not actively being filled. Check with the employer before applying. How this is scored
Job Overview
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Job Description Job Description Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of…
This role is based in Irving, Dallas. Macpower Digital Assets Edge Private Limited is hiring for this full-time position through Jobily, where you can check how well your resume matches the posting before you apply.
What you'll do
- Review and analyze complex medical claims
- Research and resolve claims issues
- Ensure compliance with federal regulations
- Collaborate with Business Configuration, Network Management, and Provider Data departments
- Work with Complaints, Appeals and Grievances teams
- Validate claims processing
- Perform quality assurance activities
- Coordinate across operational departments
What you'll need
- Knowledge of medical claims processing guidelines
- Understanding of federal healthcare regulations
- Experience with claims processing systems
- Strong analytical and research capabilities
- Ability to work with multiple operational departments
About the Company
MA