What are the responsibilities and job description for the Claims Examiner position at Entrust Inc., a 90 Degree Benefit Company?
Top-rated Health Administration Company offers excellent opportunity to grow in a dynamic business. We are located in Katy, just off of Highway 99 and Westpark Tollway. We have been in business since 1970 and we are on the front lines of our industry. Because we are led by the best minds in the business, we are innovative, stable and we are growing.
Essential Functions include, but are not limited to:
- Process all claim types (Medical, Dental, Vision, etc.) for assigned workload accurately and timely, maintaining a 10 day or less turnaround;
- Interpret and understand Plan Document provisions;
- Work priority workflow queues in receipt date order;
- Maintain claims email mailbox and respond to inquiries, supporting Customer Service and Account Executives;
- Maintain void and refund process;
- Handle Coordination of Benefits, Appeals, and Subrogation cases;
- Regular and reliable attendance;
- Keep Claims Manager and supervisor informed of known actions, written or verbal, which may affect the ability to successfully perform assignments or adversely affect 90 Degree Benefits operations;
- Complete projects or other duties assigned by Supervisor or Manager.
Core Competencies:
- Represent 90 Degree Benefits core values, mission, and culture;
- Be professional, courteous, and respectful of others;
- Communicate clearly and accurately, both written and orally;
- Expand general knowledge of employee benefits;
· Analyze information and determine appropriate course of action;
- Elevate performance by setting clear goals and expectations;
- Foster knowledge, innovation, and productivity;
- Work in a collaborative team environment;
- Deliver the highest level of excellence;
- Proficient in VBA System, Excel, Word, and Outlook.
Qualifications:
- Two years of experience processing medical claims;
- Associates degree or equivalent preferred;
- Medical coding and terminology helpful;
Once production and quality are met, there is the possibility to work remotely.
Job Type: Full-time
Expected hours: 37.5 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
Application Question(s):
- Have you ever processed medical claims as a claims examiner for an insurance company?
Work Location: In person