Oregon Licensed OPL Examiner

A company is looking for an OPL Examiner I to review claims for potential third-party investigations. Key Responsibilities Investigate claims related to potential third-party liability and generate necessary incident reports Sort, review, and triage returned incident reports and correspondence related to third-party claims Code claim and tracking systems accurately and provide technical support to maximize third-party savings Required Qualifications High school diploma or GED equivalent required Minimum 2 years of related work experience, preferably in claims processing Basic knowledge of medical terminology, CPT and ICD-9 coding preferred Experience with claims systems and understanding of OPL rules and regulations is preferred Proficient use of PC and Windows software, including Microsoft Word and Excel