Amazing opportunity for career progression.
Globe Life Family Heritage Division is looking for an Claims Examiner I to join their team in the Claims Health FHL department for our corporate location in Broadview, Ohio. This is a full time opportunity working on-site with the possibility to work remote based on performance.
We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short – term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.
Come join our team!
JOB DUTIES
- Prompt and timely processing of supplemental accident, health and life claims accurately within deadlines
- Follow required department procedures and guidelines to ensure compliance with HIPAA, legal and insurance laws and regulations, and state specific policy and benefit contract provisions
- Phone correspondence with medical facilities, providers, policyholders, and agents
- Review medical records and various documentation to analyze and apply policy benefits, limitations and exclusions
- Back up phone support for the department's Call Center Unit as needed
- Assist with various department functions, projects, and assignments as directed
Required Skills
REQUIRED SKILLS
- Must have a high level of quality focus on providing excellent customer service
- Ability to process a high volume of claims efficiently and accurately
- Critical problem solving, decision making, and analytical skills
- Excellent verbal, communication, and written skills
- Strong organizational and research skills
- Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
- Works well independently
- Team player
- Reliable and predictable attendance of your assigned shift
- Ability to work Full-Time and/or Part-Time based on the specific position for which you are applying.
Required Experience
REQUIRED KNOWLEDGE & EXPERIENCE
- Minimum of five years prior phone/customer service and office experience
- Previous experience in a Claims service environment preferred
- Medical terminology/medical office background desirable
- Bilingual skills a plus