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Healthcare Benefits Claims Examiner Representative - Remote

Posted 1 week ago
Cobalt Benefits Group logo

Cobalt Benefits Group

Sales / Business
Full Time
USA

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Jobs from Cobalt Benefits Group:

Overview

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Healthcare Benefits Claims Examiner Representative, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

In Short

  • 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

  • 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 with 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

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