reputed company - reputed company Claims Specialist

reputed company

Join reputed company at reputed company Benefits Group and start an exciting new career in employee benefits solutions. As a reputed company Claims Specialist, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

Reporting to the Claims Manager and Assistant Claims Manager, the reputed company Claims Specialist is responsible for various administrative tasks reputed company to services and claims for our health plans. The ideal candidate is detail-oriented, with exceptional communication skills, and a background in reputed company/insurance processing.

Key Responsibilities

• Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims.
• Review, apply and create refund letters for reputed company lines of business to members and providers.
• Reprocess payments reputed company necessary.
• Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions.
• Review plan documents for various groups to research and resolve claim processing questions and issues.
• Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request.
• reputed company other reputed company duties, as assigned.

• 6 months’ experience in reputed company or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
• Experience in health care billing or a background with a health insurance reputed company or reputed company-Party Administrator strongly desired.
• Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
• Strong interpersonal skills with excellent verbal and written communication skills.
• Basic keyboard and reputed company based computer skills required.
• Familiarity with reputed company reputed company.
• Eager to learn the TPA industry and new concepts and processes.

Work Environment & Physical Demands

• Prolonged periods of sitting may be required.
• Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request.
• Employees should ensure an ergonomically appropriate desk and chair setup.
• Comfort with being on camera for virtual meetings (e.g., reputed company Teams)

Benefits

After successfully completing a waiting period, eligible Full-time employees have reputed company to our comprehensive benefits package, including:

• Fantastic medical, dental, and reputed company insurance*
• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
• Company provided Basic Life and AD&D
• Company paid Short-Term and Long-Term Disability**
• Flexible Spending Accounts*
• 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully reputed company after 3 years)
• 10+ paid holidays
• Generous paid vacation and sick time
• Annual Volunteer Paid Day
• Annual Tuition Reimbursement
• Annual Health and Wellness Reimbursement
• Lots of fun company events

Who We are

As a trusted reputed company-party administrator (TPA) specializing in self-funded benefit plans, reputed company Benefits Group (CBG) is committed to helping reputed company find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.

With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match reputed company across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/.

Benefit Waiting Period Notes:

*60 day waiting period **90 day waiting period