Reliance Matrix
Claims Examiner I - Supplemental Health
United States, USA
Sponsorship not specified$19k-$26kDetected 16 days ago
Customer SupportResearchCommunicationCollaborationMicrosoft Office
About the role
- The goal of the role is to consistently pay the accurate amount for each claim in accordance with the contract.
- This role also provides customer service that is respectful, prompt, concise, and accurate in an environment with competing demands.
- Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law.
Responsibilities
- Develops an understanding and working knowledge of products, policies and contracts.
- Manages assigned case load as outlined in Key Measures
- Establishes, communicates, and manages claimant and policyholder expectations.
- Documents claim file actions and telephone conversations appropriately.
Requirements
- generally an act that is required on a daily basis
- Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures
- Employee is required to have hearing sufficient to understand verbal instruction and answer telephones.
- Required Knowledge, Skills, Abilities and/or Related Experience
Nice to have
- High School Diploma or equivalent required.
- Relevant Associates or Bachelor's Degree highly preferred.
Skills
- High School Diploma or equivalent required. Relevant Associates or Bachelor's Degree highly preferred.
- Minimum of one (1) year related claims experience preferred.
- Work experience in decision-making and information analysis.
- Requires excellent communication skills.
- Demonstrated prioritization and organization skills.
- Experience working in confidential/protected identification environments.
- Good math and calculation skills.
- Proficient in Microsoft Office products
- Prior experience using an automated claim system desirable.
Compensation
- This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards.
Benefits
- An annual performance bonus for all team members
- A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.
- For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account
- Multiple options for dental and vision coverage
- Company provided Life & Disability Insurance to ensure financial protection when you need it most
- Family friendly benefits including Paid Parental Leave & Adoption Assistance
- Tuition Reimbursement and Continuing Professional Education
- Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays.
- As you grow with us, your PTO may increase based on your level within the company and years of service.
Company info
- Integrity
- Empowerment
- Compassion
- Collaboration
- Fun
- At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential.
Visa & Work Authorization
- We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or st
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This listing is sourced directly from Reliance Matrix's careers page and normalized into a canonical job model.