Healthcare Benefits Claims Examiner

Job Description: • Ensure accuracy of claims adjudication while maintaining quality and turn around goals. • Adjudicate medical, dental and vision claims. • Review plan documents for various groups to apply appropriate benefits to claims being adjudicated. • Prioritize assigned claims by adjudicating oldest claims first. • Communicate effectively with internal auditors and management team. • Perform other related duties, as assigned. Requirements: • At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support. • Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired. • Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency. • Strong interpersonal skills with excellent verbal and written communication skills. • Keyboard and Windows skills a must. • Ability to work using Excel spreadsheets. • Eager to learn the TPA industry and new concepts and processes. • Blue Care experience and medical coding and terminology a plus. Benefits: • Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible! • Company provided Basic Life and AD&D • Company paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer-match** • WOW! (100% fully vested after 3 years) • 10+ paid holidays • Generous paid vacation and sick time • Annual Volunteer Paid Day • Annual Tuition Reimbursement • Annual Health and Wellness Reimbursement • Lots of fun company events Apply tot his job