New

Medical Claims Examiner

TEKsystems
$24.00 - $27.00 / hr
medical insurance, life insurance, sick time, 401(k), retirement plan
United States, South Dakota, Sioux Falls
Dec 24, 2025
Now Hiring for a Medical Claims Processor for a large healthcare organization in Sioux Falls, SD!! Description * Provide input to supervise or regarding ways to perform the position functions more effectively. * A quality performance should always be the Claims Examiner's goal while performing his/her job duties every day. * Review, analyze, evaluate, investigate and determine action on complex medical claims and apply necessary adjustment or refund as needed. * Perform detailed investigative procedures and determine the need for further development to resolve questions of eligibility, benefit liability, over utilization of services, and coding compliance initiatives. * Communicates through claims with members and providers to notify them of claim status and the need for additional information necessary to process claim. * Additional claims duties as required: preexisting conditions process, repricing of claims, claims adjustments, work with pharmacy claims, working with vendors for Letters of Agreement Entry of Authorizations received from vendors. MUST HAVE * 1-3 years experience in medical insurance claim processing or medical insurance billing Job Type & LocationThis is a Contract position based out of Sioux Falls, SD. Pay and BenefitsThe pay range for this position is $24.00 - $27.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully onsite position in Sioux Falls,SD. Application DeadlineThis position is anticipated to close on Jan 4, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.