A high school diploma or GED is required to become a claims judge in the US, with some employers preferring a college degree. Experience in medicine or pharmacy, customer service skills, research aptitude, and basic accounting knowledge are also beneficial. Certification may be required for some positions.
To become a claims judge in the United States, you must have a high school diploma or a general equivalency diploma (GED). Some employers may indicate a preference for applicants who have at least a college degree, but a degree is generally not required. While candidates are generally not required to have any type of license or certification, keep in mind that some employers may require candidates to be a certified pharmacy technician or accountant.
Most of the time, employers usually require applicants to have a certain experience in the field of medicine. Prior experience that may help you get hired may include working with government-sponsored health care programs, billing treatment in the doctor’s office or in hospital administration. In some cases, employers may prefer to hire candidates who have worked in medical claims handling in some capacity for at least one to two years. Some companies may also prefer people who have worked in a pharmacy in some capacity.
A large part of this work usually involves dealing with customers. If you want to become a claims adjudicator, you must be able to talk to and listen to people respectfully. You may have to deal with people who are upset or frustrated from time to time; so if you can handle this type of activity calmly and tactfully, you might have an advantage. As you are being considered for some jobs, employers may ask you to demonstrate how you handle certain situations. You must be prepared for this before going for a job interview.
You must have an aptitude for conducting research if you want to become a claims adjudicator. You may be responsible for investigating some claims, which may require you to ask questions that may make you uncomfortable. If you have the ability to separate your personal feelings from your work duties, you may be well suited for this type of work.
Some employers may require you to perform a certain amount of bookkeeping or other light accounting work as a regular part of your job. Therefore, it might be beneficial for you to have some basic work experience in one of these fields, or to take some accounting or bookkeeping classes. If you want to become a claims judge and you don’t have that kind of training or educational background, you should at least be comfortable working with numbers.
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