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Sous Chef - Seattle

Trustmark

Sous Chef - Seattle

National
Paid
  • Responsibilities

    Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, you will be part of an organization committed to offering custom self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.

    We are seeking a Claims Analyst who will be responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times.

    Job Responsibilities include:

    • Review, analyze and interpret claim forms and related documents.
    • Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
    • Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
    • Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
    • Support the Claims reinsurance team, in the research and resolution of claims as assigned
    • Support internal departments in the research and resolution of claims
    • Communicate via telephone, email, electronic messaging, fax, or written letter with employees/members, providers of service, clients and/or other insurance carriers to ensure proper claim processing
    • Other duties as needed/assigned.

    Job Qualifications:

    • At least one year of prior health insurance experience preferred
    • Self-Funded Insurance/Benefits and/or TPA experience preferred
    • Knowledge of medical procedure and diagnosis coding preferred
    • Ability to work in a fast-paced, customer centric and production driven environment
    • Effective verbal and written communication skills
    • Ability to work effectively with team members, employees/members, providers, and clients
    • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
    • Flexible; open to continued process improvement
    • Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
    • Knowledge of medical terminology
    • Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools
    • Previous experience in either a medical billing, hospital billing, or claims processing environment a plus

    At Health Benefits, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

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    The compensation range for this full-time Claims Analyst position is between $15.00/hr. and $26.90/hr. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

    All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.

    Required Skills

    Required Experience

  • Qualifications

    Bachelor's Degree Required, preferably in Digital Media, Marketing, Communications, or related field. 3-5 years of work experience. Excellent oral and writing communication skills required.

     

     

    We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. We are a VEVRAA Federal Contractor.