Claims Representative Account Services

Department : Claims Department

FLSA Status : Non-Exempt

Employment Status : Full-Time; Monday-Friday 8 : 30-5 : 00

Salary : $ 50,000 - $55,000

Essential Duties and Responsibilities :

• Examine, process, calculate, and pay insurance claims to Bene-Care's TPA clients and their employees
• Provide customer service to claimants, providers, and clients regarding their claims and / or policies for reimbursement
• Process employee adds and terms within DataPath 125 and 105 system
• Key HRA and FSA claim data
• Substantiate debit card swipes
• Premium Only Plan (POP) setup and renewal processing
• COBRA notice preparation and distribution
• Strictly comply with federal and state regulatory laws, policies, and company procedures
• Performs other work-related duties as assigned

Minimum Qualifications (Knowledge, Skills and Abilities) :

• Associates degree or equivalent training
• 1-2 years of related experience
• Familiarity with health care benefits and / or insurance terminology
• Ability to read and understand medical terminology and insurance claims as well as interpret documents such as medical bills and EOB's (Explanation of Benefits)
• Working knowledge of Microsoft Office applications; Word, Excel, Outlook
• Proficient basic mathematical skills and comfort working with percentage calculations
• Ability to work in a fast-paced environment with a fluctuating workload
• Willingness and desire to learn
• Strong attention to detail
• Excellent communication skills; both written and verbal
• Ability to work effectively within a team and independently

About us :

Bene-Care, Inc. is a local premier Human Capital Management organization that helps clients confidently select, successfully manage, and seamlessly integrate employee benefits , payroll services , insurance and strategic HR Solutions , while ensuring the highest level of regulatory compliance and customer service.

Don't know what makes the Human Capital Management industry special? Well, chances are you interact with an HCM system every day! When you apply for a job, get paid by your employer, go see a doctor, need a tooth pulled or take an on-line training course you are engaging with a Human Capital Management organization!

Next, we combine an exciting industry with a winning culture. Our 50 employees are high-performing, collaborative, out-of-the-box thinkers who break through obstacles and embody an "anything is possible!" mindset.

We love it here. Our work is challenging, fast paced and REWARDING!

Now you understand why since 1972, our company has been one of the fastest growing, and quite honestly, the most unique in our industry!

And we're not done yet...

In order to continue our uniqueness and status with the HCM world, we need people like YOU to join our team! Are you up for the opportunity?

Bene-Care offers an outstanding compensation and benefits package including medical insurance (including an HSA option and telemedicine), health reimbursement plan, dental, vision, life insurance, short- and long-term disability, profit sharing, 401(k), parental leave, pet insurance (new!), and last but not least, flexible spending accounts for dependent care.

If you're still not sold, take a look at our website or better yet, visit our Facebook page!

Fun fact... At Bene-Care it's a FAMILY AFFAIR! Bill, Jeff and Greg (The BACH'S) along with a bunch of other family members (some with the same last name and some without), keep us all happy, healthy and motivated! We also boast about the tenure of our staff - over 30% of our team members have been with the company for 10 years or more! Are you ready to join this big happy family?

We have a place setting at our table with your name on it!

Last updated : 2024-04-06