Healthcare Benefits Claims Examiner Representative - Remote

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