What are the responsibilities and job description for the Healthcare Benefits Claims Examiner Representative position at Cobalt Benefits Group LLC?
Description
Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Healthcare Benefits Claims Examiner Representative, 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, the Healthcare Benefits Claims Examiner Representative is responsible for various administrative tasks related to services and claims for our health plans. The ideal candidate is detail-oriented, with exceptional communication skills, and a background in healthcare/insurance processing.
Responsibilities:
- Ensure accuracy of claims adjudication while maintaining quality and turn around goals.
- Adjudicate medical, dental and vision claims.
- Review plan documents for various groups to apply appropriate benefits to claims being adjudicated.
- Prioritize assigned claims by adjudicating oldest claims first.
- Communicate effectively with internal auditors and management team.
- Perform other related duties, as assigned.
Requirements
- Experience in health care billing or a background with a health insurance carrier or Third-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.
- Keyboard and Windows skills a must.
- Ability to work using Excel spreadsheets.
- Eager to learn the TPA industry and new concepts and processes.
- Blue Care experience and medical coding and terminology a plus.
Benefits:
After successfully completing a waiting period, every Full-time employee has access to our comprehensive benefits package, including:
- Fantastic medical, dental, and vision insurance- twice annual employer HSA contribution, covering 50% of the plan’s annual deductible!
- Company paid 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!)
- 10 paid holidays
- Generous paid vacation and sick time
- Lots of fun company events
Who We are:
As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers 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 180 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 employers across our region with the right solutions for their employee benefit needs.
To learn more about working at CBG, visit Careers | EBPA (ebpabenefits.com). Voted a Best Place to Work in Vermont 2024!
Salary : $21 - $22
