Onsite for the initial training period, telecommuting options available thereafter.

Benefits:

• Up to 6% Company 401K match
• 2 weeks prorated vacation (first year)
• 3 weeks vacation after year one
• Company sponsored STD/LTD/Life Insurance
• Medical/Vision/Dental
• Tuition Reimbursement

Role Summary: The ideal candidate is detail oriented with exceptional communication skills and a background in health care/insurance processing. Further knowledge of flexible spending accounts and COBRA products is a plus. Our Benefit Specialists report to the Claims Manager and have a knack for problem solving and enjoy collaborating with internal resources to provide exceptional service to members and clients.

Responsibilities:

• Ensure accuracy of claims processing while maintaining quality and turn around goals
• Audit, review, and re-work medical, and dental claims
• Process complex and high-dollar health insurance claims
• Communicate with members, providers, employer group contacts and other callers pertaining to specific benefit questions
• Review plan documents for various groups to research and resolve medical, dental and vision service processing issues
• Act with urgency to respond to inquiries regarding benefit claim status-including research and resolution regarding claims denial for all product offerings
• Provide high level interpretations to clients regarding flexible spending accounts including unreimbursed medical accounts.

$19 - $21 Hourly Wage

• Associates Degree or 2+ years of health care or related experience
• Third-Party Administrator knowledge strongly desired
• Working knowledge of Microsoft Excel
• Demonstrated Customer Service expertise, including both internal and external customers