Benefit Plan Service Representative
3 weeks ago
Key Responsibilities
- Review documentation, determine benefit due, and complete the denial or payment process to resolve medical claims.
- Requests information required to adjudicate claims/pay vendors through telephone inquiry and written correspondence.
- Answer incoming phone calls to assist members with claim and benefit inquiries.
- Responds to all telephone logs and e-mail inquiries in a timely manner.
- Adhere to all federal and/or state level insurance regulations.
- Authorize the appropriate plan’s liability by following the policy provisions.
Requirements
- High school diploma or general education degree (GED)
- Claims Advocate a minimum of one (1) year related call center customer service experience and/or training.
- Clear written and verbal communication style and strong collaboration skills
- Must be computer literate and knowledgeable in Windows and Microsoft Office environment, including Word and Outlook. Microsoft Excel and knowledge of insurance database system a plus
- Strong attention to detail and organizational skills
Benefits
- Competitive pay with opportunity for career advancement
- Paid time off policy to support a healthy work-life environment
- Full offering of health and wellness benefits for you and your family
- Company paid life insurance and disability plan
- 401K plan with company matching
- Employee discounts and wellness programdly growing organization
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
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