Claims Examiner/Member Services Representative

Small Health and Welfare Claims Administrator seeks full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clients. This is a full-time, in-office position during the initial training period converting to hybrid work after the training period is completed. Successful candidate must be detail oriented, possess excellent interpersonal skills, be a master communicator, and demonstrate a strong desire to assist others and continuously learn. If you value . . . Work/life balance Stability Collaborative decision-making Quirky, relaxed work environment we want to talk to you. DUTIES Process medical, dental, and vision claims with speed and accuracy Professionally respond to member and provider requests via telephone, email, and in-person Assess and resolve problems within the scope of authority, elevate complex problems to senior staff Employ clarity, efficiency and compassion when communicating with clients Clearly document all customer contacts Support other claims examiners and administrative team as needed QUALIFICATIONS HS Diploma, college degree preferred Two years claims experience in a healthcare environment Customer service experience preferred Excellent written and verbal communication skills Knowledge of medical terminology, billing, and IDC-10 and CPT codes Keen attention to detail; analytically and mathematically inclined Proficiency in Microsoft Office suite Excellent time-management, problem-solving, and organizational skills Must be mature, reliable, have a stellar work ethic, and also possess enthusiasm, initiative, and curiosity Patience and sense of humor are equally essential #J-18808-Ljbffr United Employers Association and its Affiliates