Claims Handling Representative

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Globe Life

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1900

💼 Consulting

🏥 Healthcare

🛡️ Insurance

💰 $250M Post-IPO Debt - Globe Life on 2024-08

Consulting • Healthcare • Insurance

Globe Life is a U. S. -based life insurance company that provides individual life insurance policies and related products through a network of agents and direct channels. The company emphasizes customer service, agent careers, and long-term financial protection for families, and is financially rated by independent analysts for strength and stability.

📋 Description

• Process supplemental accident and health claims promptly and accurately within established deadlines • Review claims documents, medical records, provider bills, receipts, and invoices to apply or deny benefits • Ensure claims comply with company procedures, HIPAA, insurance laws and regulations, and state-specific policy provisions • Contact medical facilities, providers, legal entities, policyholders, and agents to obtain required documentation • Review system notes and documents to explain claims status, benefit payments, denials, appeal decisions, and pending-claim information • Handle customer and agent inquiries, issues, and complaints through research, follow-up, and resolution • Document phone calls, issues, and correspondence in system notes and claim files • Meet quality assurance requirements, performance metrics, and productivity standards • Cross-train with operational departments on functions affecting claims • Create written correspondence and complete authorization forms for claims and medical-record requests • Research and correct claims-processing errors • Process miscellaneous customer and agent requests, including claim forms, authorization materials, benefit lists, faxes, and duplicate policies • Communicate pertinent information and issues to the Team Leader, Supervisor, and/or Manager • Identify and recommend process, procedure, and system improvements • Develop understanding of Underwriting, Customer Service, Billing, and Corporate Services processes • Complete required auditor, compliance, and state-regulation training • Assist with department functions, projects, and assignments as directed

🎯 Requirements

• High School Diploma or equivalent • Minimum of 3–5 years of prior phone, customer service, and office experience • Previous claims service environment experience preferred • Medical terminology or medical office background desirable • Bilingual skills a plus • Ability to process a high volume of claims efficiently and accurately • Critical problem-solving, decision-making, and analytical skills • Strong attention to detail • Excellent verbal, written, and communication skills • Strong organizational and research abilities • Ability to work under pressure and manage multiple tasks with competing deadlines • Ability to work independently and as a team player • Reliable and predictable attendance of the assigned shift • Ability to work full time based on position specifications

🏖️ Benefits

• Competitive compensation designed to reflect your expertise and contribution • Comprehensive health, dental, and vision insurance plans • Robust life insurance benefits • Retirement plans, including company-matched 401k and pension plan • Paid holidays and time off • Parental leave • Subsidized all-in-one subscriptions supporting fitness, mindfulness, nutrition, and sleep goals • Company-paid counseling for mental health, stress management, and work-life balance • Continued education reimbursement eligibility • Company-paid FLMI and ICA courses • Discounted Texas Rangers tickets