Amazing opportunity for career progression.
Apply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.
Globe Life Family Heritage Division is looking for a Claims Examiner I to join their team in the Claims Health FHL department for our corporate location in Broadview, Ohio.
This is a full-time opportunity working remote.
We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short-term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.
Come join our team!
Job Duties :
- Prompt and timely processing of supplemental accident, health and life claims accurately within deadlines
- Follow required department procedures and guidelines to ensure compliance with HIPAA, legal and insurance laws and regulations, and state specific policy and benefit contract provisions
- Phone correspondence with medical facilities, providers, policyholders, and agents
- Review medical records and various documentation to analyze and apply policy benefits, limitations and exclusions
- Back up phone support for the department's Call Center Unit as needed
- Assist with various department functions, projects, and assignments as directed
Required Skills :
- Must have a high level of quality focus on providing excellent customer service
- Ability to process a high volume of claims efficiently and accurately
- Critical problem solving, decision making, and analytical skills
- Excellent verbal, communication, and written skills
- Strong organizational and research skills
- Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
- Works well independently
- Team player
- Patience and an understanding and ability to interact with individuals with disabilities
- Dependability, flexibility, and desire to help others
- Computer proficiency and ability to learn to use an electronic health record system
- Must have a valid driver’s license and safe driving record; access to a personal vehicle required at some sites
Education and Experience Required :
- Minimum of 3-5 years prior phone / customer service and office experience
- Previous experience in a Claims service environment preferred
- Medical terminology / medical office background desirable
- Proficient in Microsoft Office programs
- Bilingual - Spanish skills a plus
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