Variant of CIP 2011- STEM groupings

51.0715 - Health/medical claims examiner

This instructional program class comprises any program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation. These programs include courses in health and medical insurance processes and procedures; health insurance laws and regulations; health care industry laws; record keeping; analytic and investigatory techniques; evaluation methods; field operations methods; office procedures; related software applications; oral and written communications skills; interviewing techniques; and professional standards and ethics.

  • Illustrative example(s)

    • health/medical claims examiner
  • Exclusion(s)

    • insurance(52.1701)
    • medical insurance billing(51.0714)
    • medical insurance coding(51.0713)
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