Medical Claims & Customer Service

Overview

This role is customer-facing and is considered a key customer service representative for the Health Organization. The Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. Foster strong relationships through the resolution of customer incoming call requests.

Serve our customers by determining requirements, answering inquiries, resolving problems, and fulfilling requests.

Come join a prestigious and reputable health plan company! This is a career opportunity to grow your career.

Company Benefits:

• Salary range offered $56,000-$63,000 to start
• Medical, Dental & Vision Health Insurance is paid 100% by Employer (you can add up to 5 dependents for health coverage, and it costs $50 a month total for dependents coverage).
• 401K with 2% Employer Match
• Employer Pension! – Vested after 5 years
• PTO- 2 weeks – 5 weeks of time off depending on your years with the company
• Holiday Pay
  -2 Floating Holidays & you get your Work Anniversary off every year
• Sick Pay – 12 days a year
• Career advancement opportunities & the ability to work for a very reputable and longstanding organization.