ProgramCIP 51.0715

Health/Medical Claims Examiner

A program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation. Includes instruction in health and medical insurance processes and procedures, health insurance law and regulations, health care industry law, 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.

Definition from U.S. Department of Education, National Center for Education Statistics (CIP 2020).