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  1. Programs
  3. Medical Claims Specialist

Medical Claims Specialist

The University of Montana

Certificate

Become a contributor for free to openly demonstrate student outcomes, industry alignment & eligibility criteria.

No description available.

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Program Pathways

Credentials this program stacks toward

No program pathways.

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Program Details

Detailed information about this program

No detailed information available.

Requirements

What you need to earn this credential

No requirements listed.

Financial Aid

Eligible funding programs

No funding information available.

Scholarships

No scholarships listed.

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Locations

Where this program is offered

  • Missoula, Montana

    Missoula, Montana, Missoula, Montana, 59812

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Related Programs

Programs related to this one

No related programs.

Skills & Competencies

Skills developed through this program

Auto-populated·from O*NET via SOC 43-9041.00

Skills

Reading ComprehensionTime ManagementSpeakingActive ListeningCritical ThinkingSocial PerceptivenessCoordinationService Orientation

Knowledge

Customer and Personal ServiceAdministrativeEnglish LanguageComputers and Electronics

Abilities

Oral ComprehensionWritten ComprehensionOral ExpressionNear VisionSpeech RecognitionSpeech ClarityWritten ExpressionDeductive ReasoningInformation OrderingProblem Sensitivity

Tasks

  • Prepare insurance claim forms or related documents, and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.

Technology

Accounting softwareData base user interface and query softwareBilling and invoicing softwareInstant messaging softwareMedical software

Tools

10-key calculatorsDesktop computersDictation machinesPersonal computers

Work Values

RelationshipsSupportIndependenceAchievementWorking ConditionsRecognition
Career Pathways

Occupations this program prepares you for

Auto-populated·from O*NET + BLS
Occupations matched to this program, with median wage, top wage, growth, and openings
SOCOccupationMethodWageGrowthOpenings
Match confidence: medium43-9041.00Insurance Claims and Policy Processing Clerkstitle_inference$48,450 median$73,100 top-3.7%-950
What You'll Learn

Key competencies developed through this program

Auto-populated·from NSX Competency Framework

Mastery: developing (Level 2)(based on Certificate)

  • Insurance claim forms — prepare, review, and correct for completeness with minimal oversight across routine claim types.
  • Claim payment amounts — calculate accurately using standard rate tables and billing software in a moderate-volume processing environment.
  • Policy coverage details — review independently to determine applicability to standard submitted claims in a daily processing workflow.
  • Claim files — update and maintain using document management software while meeting established turnaround time requirements.
  • Insured parties and third parties — contact proactively to gather missing or clarifying information for pending claims without supervisor prompting.
  • New insurance policies — process and record into company systems consistently and accurately across multiple policy types.
  • Claims database — search and retrieve relevant records to support claim reviews and resolve routine discrepancies in an office environment.
  • Time-sensitive claim batches — prioritize and manage workload using scheduling tools to meet daily processing targets.
  • Routine claim irregularities — identify and escalate appropriately using judgment developed through on-the-job experience.
  • Spreadsheet software — use to organize and track claim status data across an assigned portfolio of accounts.

Some details on this page are auto-populated from public workforce data sources: O*NET (opens in new tab), BLS (opens in new tab), College Scorecard (opens in new tab), DOL Training Provider Results (opens in new tab), NSX (opens in new tab). Provided in partnership with LER.me Career Intelligence.

Student Outcomes

Performance metrics for this program

Completion Rate
Not reported
Placement Rate
Not reported