Green Card Medical Claims Examiner Jobs
Medical Claims Examiner roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process, where employers document that no qualified U.S. worker is available before filing an I-140 petition. Health insurers, third-party administrators, and managed care organizations regularly sponsor foreign professionals in this role.
Find Green Card Medical Claims Examiner JobsOverview
Showing 5 of 29+ Medical Claims Examiner jobs
See all Medical Claims Examiner Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Claims Examiner roles.
Get Access To All JobsDepartment: UHC: Managed Care
Job Summary: This Claims Examiner 2-Mgd Care will process professional and hospital HMO Risk claims in accordance with the individual provider contracts in an accurate and timely manner, verify system assigned risk pool determination in accordance with HMO Division of Financial Responsibility matrix, initiate check run, perform standard reporting, ensure audit readiness, and process third party claims. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Bachelor's Degree in Computer Science, Business, or similar degree preferred. Minimum five years managed care claims processing experience with professional claims and institutional claims.
Knowledge and Skills:
- Knowledge of Microsoft Office Suite.
- Must be well versed in medical terminology, CPT, and ICD9/10 coding guidelines.
- Comprehensive understanding of institutional inpatient and outpatient hospital claims processing, DRG's and all other institutional calculation standards.
- Comprehensive understanding of professional claims adjudication process.
- Understanding of the Managed Care health care delivery system.
- Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
- Operate/troubleshoot basic office equipment required for the position.
- Able to work calmly and respond courteously when under pressure; collaborate and accept direction.
- Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
- Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Certified Professional Coder preferred. Valid Driver's License at time of hire.
Department: UHC: Managed Care
Job Summary: This Claims Examiner 2-Mgd Care will process professional and hospital HMO Risk claims in accordance with the individual provider contracts in an accurate and timely manner, verify system assigned risk pool determination in accordance with HMO Division of Financial Responsibility matrix, initiate check run, perform standard reporting, ensure audit readiness, and process third party claims. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Bachelor's Degree in Computer Science, Business, or similar degree preferred. Minimum five years managed care claims processing experience with professional claims and institutional claims.
Knowledge and Skills:
- Knowledge of Microsoft Office Suite.
- Must be well versed in medical terminology, CPT, and ICD9/10 coding guidelines.
- Comprehensive understanding of institutional inpatient and outpatient hospital claims processing, DRG's and all other institutional calculation standards.
- Comprehensive understanding of professional claims adjudication process.
- Understanding of the Managed Care health care delivery system.
- Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
- Operate/troubleshoot basic office equipment required for the position.
- Able to work calmly and respond courteously when under pressure; collaborate and accept direction.
- Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
- Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Certified Professional Coder preferred. Valid Driver's License at time of hire.
See all Green Card Medical Claims Examiner Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Medical Claims Examiner Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship in Medical Claims Examiner
Credential your healthcare billing certifications first
PERM requires your employer to prove your qualifications meet the posted job requirements. A Certified Professional Coder or Certified Claims Examiner credential on your resume strengthens the employer's case and reduces RFE risk on the I-140.
Target TPAs and self-insured employer plans
Third-party administrators and large self-insured plan sponsors process high claims volumes and maintain dedicated HR infrastructure for employment-based sponsorship. They're more likely to have established PERM workflows than smaller regional carriers.
Check the OFLC Wage Search before salary discussions
PERM filings must meet the DOL prevailing wage for your specific SOC code and geographic area. Reviewing the OFLC Wage Search before negotiating your offer ensures the employer's proposed salary is certifiable and avoids delays at the labor certification stage.
Use Migrate Mate to find verified green card sponsors
Search for Medical Claims Examiner roles with documented EB-2 and EB-3 filing history using Migrate Mate. The platform surfaces employers who have previously completed PERM certifications for this role, so you're not guessing at sponsorship willingness.
Clarify sponsorship timing before accepting any offer
Ask your prospective employer whether they initiate PERM during your first year or only after a probationary period. Delays past the second year can affect your priority date and complicate your timeline if you're currently on a temporary work status.
Request EB-3 filing if your degree is a bachelor's
Medical Claims Examiner roles typically qualify under EB-3 as a skilled worker or professional. If your employer's immigration counsel initially proposes EB-2, confirm that your degree and experience actually satisfy the advanced-degree standard to avoid a USCIS denial on classification grounds.
Green Card Medical Claims Examiner: Frequently Asked Questions
Do Medical Claims Examiner roles typically qualify for EB-2 or EB-3 green card sponsorship?
Most Medical Claims Examiner positions qualify under EB-3 as skilled workers or professionals, requiring at least a bachelor's degree or two years of specialized training. EB-2 sponsorship is available if the employer genuinely requires an advanced degree for the role and can document that requirement. Your employer's immigration counsel will determine the correct classification based on the actual job duties and minimum requirements posted during the PERM recruitment process.
How does green card sponsorship differ from H-1B sponsorship for this role?
Unlike H-1B visa, employment-based green card sponsorship through PERM leads to permanent residency rather than a temporary status with renewal requirements. There is no annual lottery for EB-3 green cards, and most countries outside India and China face no significant backlog at that preference level. The process takes longer overall, typically two to four years from PERM filing to an approved I-485 for most nationalities, but the outcome is lawful permanent residency rather than a capped, renewable work authorization period.
What does the PERM labor certification process require from a Medical Claims Examiner applicant?
Your employer conducts the PERM process, not you, but your qualifications directly affect it. DOL requires the employer to advertise the role and demonstrate no qualified U.S. worker was available. Your credentials, including claims processing experience and any healthcare billing certifications, must match the minimum requirements posted in those recruitment steps. Any discrepancy between your actual credentials and the posted requirements can cause a denial or audit at the PERM stage.
How do I find Medical Claims Examiner employers who actively sponsor green cards?
Start with Migrate Mate, which aggregates employer green card filing history so you can identify health insurers, third-party administrators, and managed care organizations that have completed PERM certifications for this specific role. Targeting employers with a documented sponsorship record is significantly more efficient than applying broadly and asking during interviews, where sponsorship questions can be interpreted as premature.
Can I switch jobs after my I-140 is approved but before my green card is issued?
Yes, under AC21 portability provisions, you can change employers after your I-140 has been approved and your I-485 has been pending for at least 180 days, provided the new role is in the same or a similar occupational classification. For Medical Claims Examiner positions, a move to a comparable claims review or healthcare administration role at a different insurer or TPA generally satisfies the portability standard. You should consult an immigration attorney before changing employers to confirm the new role qualifies.