Demo

Claims Adjuster

United Employees Benefits Trust
Tacoma, WA Full Time
POSTED ON 1/25/2025
AVAILABLE BEFORE 3/24/2025

Join Our Team at UEBT as a Claims Adjuster!

UEBT (United Employees Benefits Trust) is dedicated to providing comprehensive benefits to union members throughout Washington. Our goal is to ensure members’ well-being and peace of mind by offering robust insurance coverage and exemplary service. We are seeking a meticulous and service-oriented Claims Adjuster who will play a pivotal role in evaluating claims, assisting participants, and ensuring timely compliance with all relevant benefit notices.

If you’re looking to make a genuine impact, thrive in a supportive environment, and enjoy direct interaction with members, we encourage you to apply! We offer a collaborative team culture, professional development opportunities, and a chance to directly contribute to our mission.

Why Join UEBT?

  • Impactful Work: Directly assist and advocate for our members.
  • Positive Workplace Culture: We pride ourselves on collaboration, respect, and consistent communication.
  • Convenient On-Site Location: Our Tacoma office is near public transportation, with easy I-5 access and free parking for employees.
  • Comprehensive Benefits:
  • Full family Medical, Dental, and Vision coverage, 100% premium paid by UEBT.
  • Short-Term disability coverage.
  • Teamsters Pension for long-term stability.

Job Summary

The Claims Adjuster is responsible for reviewing, investigating, and processing a variety of insurance claims, managing participant eligibility, and upholding compliance standards. This role includes delivering exceptional member service, reconciling bank accounts, and working closely with external partners to maintain smooth claims processes.

Key Responsibilities

  • Customer Service
  • Respond to phone inquiries and welcome members visiting the office.
  • Provide information regarding claims, benefits, and eligibility.
  • Claims Processing
  • Process medical, prescription, dental, vision, and time loss claims.
  • Disburse time loss benefits and engage with claimants.
  • Generate weekly payment files, including printing and mailing claim payment notifications.
  • Monitor and update the claims processing system.
  • Accounts Payable/Banking
  • Reconcile bank accounts and implement Positive Pay procedures.
  • Manage payables and issue payments.
  • Participant Maintenance
  • Maintain participant eligibility and files.
  • Distribute new member packets.
  • Premium Remittance Processing
  • Process and verify monthly remittances.
  • Resolve administrative issues with employer representatives.
  • Dental, Vision, Preferred Provider, and Pharmacy Network Management
  • Collaborate with network partners to resolve conflicts and facilitate claims.
  • Public Engagement
  • Participate in employer site visits, benefit fairs, and presentations.

Required Skills/Abilities

  • Excellent communication and computer skills.
  • Familiarity with medical, dental, vision, and prescription terminology.
  • Ability to work independently.
  • Must be authorized to work in the United States.
  • Intermediate proficiency in Microsoft Excel, Word, and Outlook.

Preferred Skills

  • Knowledge of health insurance regulations.
  • 1–2 years of administrative, professional office, and/or customer service experience (insurance industry or claims experience strongly preferred).
  • Demonstrated experience in problem/conflict resolution.
  • Bilingual in English/Spanish a plus.

Education and Experience

  • At least one year of multi-line insurance claims or relevant customer service experience required.
  • Insurance industry or claims experience preferred (can be included in the 1–2 years above).

Physical Requirements

  • Prolonged periods of desk work.
  • Ability to lift up to 15 pounds occasionally.

Additional Highlights

  • Professional Development: Opportunities for training in multi-line claims management, compliance updates, and ongoing learning resources to support your career growth.
  • Supportive Team Environment: Work alongside experienced colleagues who value collaboration and knowledge-sharing.

How to Apply

Please submit your resume and a short statement of interest to hello@JacquelynLloyd.com by February 5, 2025. We look forward to learning more about how your expertise and dedication can support the union members who rely on UEBT.

UEBT is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace.

Job Type: Full-time

Pay: $53,268.00 - $71,010.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Language:

  • Spanish (Required)

Ability to Commute:

  • Tacoma, WA 98402 (Required)

Ability to Relocate:

  • Tacoma, WA 98402: Relocate before starting work (Required)

Work Location: In person

Salary : $53,268 - $71,010

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