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Audit and Advisory Manager - Houston Texas
Company: HOK Location: Houston, Texas
Posted On: 05/03/2024
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: |
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