Job Details of Phone Claim Analyst (Supplemental Health) – Remote

WHAT WE CAN OFFER YOU:

• Hourly Wage: $19.59, plus annual bonus opportunity.
• Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match.
• Regular associates working 40 hours a week can earn up to 15 days of vacation each year.
• Regular associates receive 11 paid holidays in 2025, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion.
• Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2025, which is prorated based on the start date. Additionally you will receive two floating holidays in 2025 by way of personal time that may be used at your discretion.
• Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.

WHAT YOU'LL DO:

• You’ll accurately determine claim benefits payable based on medical information and contract language in a timely manner, whilst ensuring all information conforms to established policies and procedures and ensure that provider data adheres to Corporate guidelines for file integrity and reporting purposes while maintaining production, quality and time service standards.
• You’ll communicate with external and internal customers to obtain specific claim information in order to finalize claims and to explain claim handling, whilst meeting and exceeding customer expectations and cultivating relationships that secure commitment and trust.
• You’ll provide effective customer service via multiple channels such as phone (to include inbound and outbound calls), written/email correspondence, etc. Performs service recovery techniques to resolve requests. Provides compliant and easily understood resolution options with the desired outcome of creating a positive customer experience. Utilizes resources to support service delivery resulting in retaining and/or growing the business.
• You’ll be identifying and understanding problems and opportunities by gathering, analyzing, and interpreting information; choosing the best course of action by establishing clear decision criteria, generating, and evaluating alternatives, and making timely decisions; taking action that is consistent with available facts and constraints and optimizes probable consequences.

WHAT YOU’LL BRING:

• Shows a sense of urgency and is accountable for work results. Effective time management and organizational skills with an attention to detail and analytical and decision-making abilities.
• Ability to work independently, and/or as part of a team, in a collaborative environment and is approachable.
• Effective oral, written and interpersonal communication skills, sound judgment and the ability to think within a structured and compliant work environment while focusing on the customer.
• Working understanding of computer systems such as email, data entry, and Microsoft products, with proficient keyboarding skills.
• Ability to assess and understand the needs of the customer and demonstrates flexibility in customizing approach and response to resolve requests in a respectful and timely manner.
• You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• Able to work remotely with access to a high-speed internet connection and in a listed location.

PREFERRED:

• Insurance product knowledge and experience.
• Knowledge of medical terminology.