Benefit Plan Service Representative

Job Description

Job Description

Description

HealthComp is looking for an experienced Claims Advocate to review documentation, and support members through written and verbal communication to determine benefits due and resolve medical claims. This is a great opportunity for someone with call center experience with strong attention to detail and customer focused personality who is looking to advance their healthcare career with a rapidly growing organization!

Key Responsibilities

• Review documentation, determine benefit due, and complete the denial or payment process to resolve medical claims.
• Requests information required to adjudicate claims/pay vendors through telephone inquiry and written correspondence.
• Answer incoming phone calls to assist members with claim and benefit inquiries.
• Responds to all telephone logs and e-mail inquiries in a timely manner.
• Adhere to all federal and/or state level insurance regulations.
• Authorize the appropriate plan’s liability by following the policy provisions.

Requirements

• High school diploma or general education degree (GED)
• Claims Advocate a minimum of one (1) year related call center customer service experience and/or training.
• Clear written and verbal communication style and strong collaboration skills
• Must be computer literate and knowledgeable in Windows and Microsoft Office environment, including Word and Outlook. Microsoft Excel and knowledge of insurance database system a plus
• Strong attention to detail and organizational skills

Benefits

• Competitive pay with opportunity for career advancement
• Paid time off policy to support a healthy work-life environment
• Full offering of health and wellness benefits for you and your family
• Company paid life insurance and disability plan
• 401K plan with company matching
• Employee discounts and wellness programdly growing organization!
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Job Type: Full-time
Schedule:

• 8 hour shift
• Monday to Friday