Audit and Advisory Manager - Houston Texas

Company: HOK
Location: Houston, Texas
Posted On: 05/02/2024

Amazing opportunity for career progression.
Globe Life Family Heritage Division is looking for a Claims Examiner I to join their team in the Claims Health FHL department for our corporate location in Broadview, Ohio. This is a full-time opportunity working remote.
We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short-term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.
Come join our team!
Job Duties:

• Prompt and timely processing of supplemental accident, health and life claims accurately within deadlines
  
• Follow required department procedures and guidelines to ensure compliance with HIPAA, legal and insurance laws and regulations, and state specific policy and benefit contract provisions
  
• Phone correspondence with medical facilities, providers, policyholders, and agents
  
• Review medical records and various documentation to analyze and apply policy benefits, limitations and exclusions
  
• Back up phone support for the department's Call Center Unit as needed
  
• Assist with various department functions, projects, and assignments as directed
  
  Required Skills
  Knowledge, Skills, & Abilities:
  
  
  
  • Must have a high level of quality focus on providing excellent customer service
    
  • Ability to process a high volume of claims efficiently and accurately
    
  • Critical problem solving, decision making, and analytical skills
    
  • Excellent verbal, communication, and written skills
    
  • Strong organizational and research skills
    
  • Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
    
  • Works well independently
    
  • Team player
    
    Required Experience
    Education and Experience Required:
    
    
    
    • Minimum of 3-5 years prior phone/customer service and office experience
      
    • Previous experience in a Claims service environment preferred
      
    • Medical terminology/medical office background desirable
      
    • Proficient in Microsoft Office programs
      
    • Bilingual - Spanish skills a plus
      
      
      Qualifications:
      Knowledge, Skills, & Abilities:
      
      
      
      • Must have a high level of quality focus on providing excellent customer service
        
      • Ability to process a high volume of claims efficiently and accurately
        
      • Critical problem solving, decision making, and analytical skills
        
      • Excellent verbal, communication, and written skills
        
      • Strong organizational and research skills
        
      • Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
        
      • Works well independently
        
      • Team player
        More...

            

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