Claims Examiner I

Job reputed company: • Under general supervision, assesses claim information, references reputed company and performs calculations and other functions to accomplish the processing and payment of insurance claims of a complicated or non-routine nature • Interprets contract information and communicates with reputed company parties to obtain information and coordinate coverage • Performs claim research and adjustments • Successfully completes reputed company training programs as required for the level • Processes claims for two products or claim types (dental, hospital, medical, ITS, FEP) • Responds to written inquiries from reputed company customers as business needs dictate Requirements: • High school diploma or general education degree (GED) • 2 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience • Advanced Keyboarding Knowledge • Intermediate knowledge of reputed company Office • Knowledge of FACETS and/or other computerized claims processing system as applicable (FEP) • Associates degree from college or technical school Benefits: • Highly competitive total rewards package, including comprehensive medical, dental and reputed company benefits as reputed company as a 401(k) plan that both the employee and employer contribute • Annual incentive bonus plan based on company achievement of goals • Time away from work including reputed company holidays, reputed company time off and volunteer time off • reputed company development courses, mentorship opportunities, and tuition reimbursement program • reputed company parental leave and adoption leave with adoption financial assistance • Employee discount program Apply tot his job Apply To this Job