HBS - Trainee Claims

Job Description:

Responsible for the expeditious and accurate adjudication of insurance claims. Included is the provision of excellent customer service to all members, employer groups, providers, facilities and other departments or teams.

Schedule

Monday – Friday: 8am-430pm - Fully remote position aside from initial training

Essential Functions

1. Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims.
2. Correctly logs, adjudicates and completes paper claim process within required timeframe.
3. Identifies and forwards specialty claims to the appropriate queue.
4. Provides backup for claims processors and examiners. Supports other departments as needed.
5. Effectively participates in meetings, trainings, and committees as designated by the supervisor.
6. Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, and other departments or teams.
7. Reviews feedback from supervisors, trainers, auditors, examiners, and trending spreadsheets. Identifies and implements the required steps for improvement.

8. Meets and maintains department minimum production and accuracy standards as defined in the department compensation program.

Skills

• Computer Literacy
• Claims Processing
• Time Management
• Typing
• Detail-Oriented
• Written Communication
• Working Independently
• Customer Service
• Analytical Thinking
• Oral Communication

Qualifications

Minimum Qualifications

• One year of claims processing, claims logging, or customer service experience.

Preferred Qualifications

• Problem solving ability, analytical skills, self-motivated, and able to work well under pressure.
• Demonstrated excellent verbal and written communication skills.
• Health plan customer service experience or claims processing experience.

Physical Requirements:

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$16.83 - $21.88

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.

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