Claims Specialist 1

Wellabe is looking for a Claims Specialist 1 to join our team. The Claims Specialist 1 is responsible for processing, reviewing, and adjusting routine life or health claims. Key Responsibilities Review, analyze and process claims, adjustments, coordination of benefits and refunds on routine life or health claims including accurate entry of codes and data to applicable system. Work may be reviewed for accuracy and more complex claims referred to a more experienced specialist. Life - responsible for final expense or preneed products. Health - responsible for Medicare Supplement, Dental or Hospital Indemnity or other related products. Respond to general inquiries by agents, policyholders, and providers concerning policy coverage and other related information by phone, email, letter or other communication channels. Health - Cross train on one or more other products and/or back up medical records, transmittal, provider files or other related duties. Qualifications General knowledge of the principles, processes, and practices related to claims processing including local, state, and government insurance-related policies. Strong verbal and written communication skills. Intermediate computer skills with basic knowledge of MS Office Suite (Excel, Word, and PowerPoint). Ability to meet or exceed all procedural, financial and quality metrics including production standards, adjudications, quality, state and federal compliance regulations, etc. Acts in accordance with all HIPAA Privacy and Security guidelines to ensure confidential handling of protected health information. High school diploma or GED equivalent. Benefits 401(k) with company match Health insurance Paid time off, holidays Volunteer time off Lifestyle Spending Account (LSA) Paternity leave Growth Opportunities We believe each of us has potential to grow and adapt with our business. We take your career as seriously as you do. Helping you develop your skills and talents leads to opportunities - not only for you, but also for our company. We provide: CliftonStrengths assessment and coaching On-site and virtual workshops and cohorts featuring world-class content from FranklinCovey, Crucial Learning, Gallup, and more Free world-class insurance acumen courses through AHIP and LOMA Reimbursement and bonus opportunities for professional designations and certifications, including a tuition reimbursement program Opportunities to take part in Wellabe's mentorship programs #J-18808-Ljbffr