Claims Examiner

Bellingham, WashingtonPosted 15 days ago

Role Overview

Pointc is hiring a entry-level Claims Examiner. This is a contract role in Bellingham, Washington. posted 2 weeks ago. Full responsibilities, required qualifications, and the apply link are listed in the description below.

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ICD-10CPTORInventoryCompensationBenefitsPerformance ManagementCompliance

Job description

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.

Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this role, you’ll be responsible for accurately processing medical claims while ensuring compliance with plan documents, policies, and industry regulations. The ideal candidate is analytical, organized, and experienced in self-funded or third-party administration environments.

Primary Responsibilities:

Adjudicate new claims and process adjustments, including denials upon receipt of additional information
Review and resolve appeals and subrogation/third-party liability cases
Manage individual inventory to ensure timely turnaround and production goals are met
Ensure claims are processed in accordance with stop loss contract terms
Respond to internal and external inquiries via email and other channels within established timeframes
Follow up on missing or incomplete information to ensure claims can be accurately processed
Maintain minimum production, financial, and procedural accuracy standards on a monthly basis

Qualifications:

Experience with Third Party Administrator (TPA) or self-funded claims administration preferred
1-2 years of experience in insurance claims processing required
Experience reviewing and finalizing claim payments for accuracy in accordance with plan policies
Ability to interpret and apply plan documents to ensure accurate claims adjudication
Experience with VBA systems preferred
Working knowledge of CPT and ICD-10 coding
Basic understanding of medical terminology
Strong communication and customer service skills
Proficiency in Microsoft Office and general computer applications
Ability to maintain confidentiality and comply with all company policies and procedures
Able to work independently with minimal supervision
Ability to prioritize, multitask, and work overtime as needed
Associate Degree Preferred

Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.

Pay Transparency

$19—$22 USD

Benefits:

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)

Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

About Pointc

Pointc

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Frequently Asked Questions

How do I apply for the Claims Examiner position at Pointc?

Use the Apply button above to submit your application directly to Pointc. Most applications take less than 5 minutes if your resume and contact details are ready, and you'll be routed to the employer's official application system to finish.

Where is the Claims Examiner position at Pointc located?

This position is based in Bellingham, Washington. Pointc has not indicated remote or hybrid options for this role, so candidates should plan for on-site work.

What does a Claims Examiner at Pointc earn?

Pointc has not disclosed a salary range in this posting. Many employers share specifics later in the interview process; you can also ask during a recruiter screen if compensation transparency is important to you.

When was the Claims Examiner role at Pointc posted?

This role was posted on June 24, 2026 (15 days ago). It's still listed as actively hiring; we re-confirm openings against the source system multiple times per day and remove closed roles.

Is the Claims Examiner role at Pointc entry-level?

Yes. This is an entry-level position. Strong candidates typically have 0-2 years of relevant work experience, internships, or significant project work. Read the full description for any specific qualification requirements Pointc has listed.