Health Benefits Claims Examiner

Job not on LinkedIn

🕒 June 26

🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $22 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

⚖️ Legal

🛡️ Insurance

Consulting • Legal • Insurance

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA) is a full service Third Party Administrator (TPA) that specializes in the customization, marketing, and operation of self-funded employee benefit plans. With over 30 years of experience and a team of over 195 employees, CBG provides a wide array of products and services including self-funded medical and dental plans, Flexible Spending Accounts, Health Reimbursement Arrangements, and COBRA management. CBG aims to assist employers in building custom benefit plans while managing costs and ensuring compliance with regulations.

📋 Description

• Ensure accuracy of claims adjudication while maintaining quality and turn around goals. • Adjudicate medical, dental and vision claims. • Review plan documents for various groups to apply appropriate benefits to claims being adjudicated. • Prioritize assigned claims by adjudicating oldest claims first. • Communicate effectively with internal auditors and management team. • Perform other related duties, as assigned.

🎯 Requirements

• At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support. • Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired. • Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency. • Strong interpersonal skills with excellent verbal and written communication skills. • Keyboard and Windows skills are a must. • Ability to work using Excel spreadsheets. • Eager to learn the TPA industry and new concepts and processes. • Blue Care experience and medical coding and terminology a plus.

🏖️ Benefits

• Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible! • Company provided Basic Life and AD&D • Company paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer-match** • WOW! (100% fully vested after 3 years) • 10+ paid holidays • Half-day Summer Fridays • Generous paid vacation and sick time • Annual Volunteer Paid Day • Annual Tuition Reimbursement • Annual Health and Wellness Reimbursement • Lots of fun company events