Small Health and Welfare Claims Administrator seeks full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clients. This is a full-time, in-office position initially with the potential for hybrid work after training period is completed.
Successful candidate must be detail oriented, possess excellent interpersonal skills, be a master communicator, and demonstrate a strong desire to assist others and continuously learn.
If you value . . .
-
Work/life balance
-
Stability
-
Collaborative decision-making
-
Quirky, relaxed work environment
we want to talk to you.
DUTIES
-
Process medical, dental, and vision claims with speed and accuracy
-
Professionally respond to member and provider requests via telephone, email, and in-person
-
Assess and resolve problems within the scope of authority, escalate complex problems to senior staff
-
Employ clarity, efficiency and compassion when communicating with clients
-
Clearly document all customer contacts
-
Support other claims examiners and administrative team as needed
QUALIFICATIONS
-
HS Diploma, college degree preferred
-
Two years claims experience in a healthcare environment
-
Customer service experience preferred
- Excellent written and verbal communication skills
-
Knowledge of medical terminology, billing, and IDC-10 and CPT codes
-
Keen attention to detail; analytically and mathematically inclined
-
Proficiency in Microsoft Office suite
-
Excellent time-management, problem-solving, and organizational skills
- Must be mature, reliable, have a stellar work ethic, and also possess enthusiasm, initiative, and curiosity
-
Patience and sense of humor are equally essential
