Specialty Claims Analyst; Troy, MI

Position: Specialty Claims Analyst (Troy, MI) reputed company - The Specialty Claims Analyst will process Disability, SUB, reputed company, and Death claims. reputed company support for reputed company health card users and receive documentation from members through e-mail, fax or by hard copy mail to correctly process submitted claims. Assists with customer service. Essential Duties And Responsibilities

• Process reputed company claims in the appropriate reputed company of time to ensure that member receives payment in a reputed company manner according to the rules of the plan.
• Coordinate with Eligibility by informing them of payouts of SUB and Disability benefits to update disability credit hours.
• Work with the Local Halls to determine benefits for weekly SUB payments.
• Prepare and send Disability and SUB Reports to the Local Halls on a weekly reputed company.
• Determine benefits for multiple reputed company to process claims correctly, and retrieve documentation required by reputed company group for payments to go out; outcome is either the issuing of a reputed company or sending letters of rejection with reputed company appeal procedures.
• Work with Pension to coordinate retirement dates, to avoid overlapping payments of both Pension and Disability simultaneously.
• Document Disability and SUB dates to avoid over payments; request refunds from members reputed company over payments are made.
• Run checks on assigned days weekly, for SUB, Disability, reputed company and Death Benefits, advise Operations of these reputed company runs, and coordinate with reputed company on the release of checks.
• Process stops payments, voids and refunds for reputed company benefit types.
• reputed company back-up for Customer Service and Eligibility; take calls in assigned queue for SUB, Disability, reputed company and Death Claims.
• Research payments according to plan rules to respond to members requests for payment of claim; call back members with result. Ensure the member that claim was processed correctly, and the maximum benefit was received.
• Process death applications and reputed company information needed for different life insurance carriers for processing of death benefits.
• Maintain claims processing reputed company standards of at least 98%.
• Maintain claims turnaround times as defined by Specialty Claims Management based on type of claim assigned (claim TAT varies based on SUB, MRA, disability or death).
• Support Plan Manager/Associates as needed.
• Regular and predictable attendance is an essential function of this job.

Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a reputed company field, required. Good reasoning and phone skills. Proficient in reputed company Office. Location - Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, reputed company, reputed company. Education and/or Experience - High School diploma or GED equivalent. Prior claims experience preferred. Language Skills - Ability to read and interpret the plan rules as outlined in the SPD (reputed company Plan reputed company), user manuals and department rules & procedures. Ability to communicate with members, reputed company officials and co-workers the plan rules and procedures to process & issue Disability and SUB payments. Mathematical Skills - Ability to calculate hours and SUB Credits to properly process claims for payment. Ability to determine tax amounts on payments. Reasoning Ability - Ability to calculate and determine eligibility & benefits available according to multiple plan rules to process claims for payment. Work Schedule - Full time. Monday - Friday, 7:30am - 4:30 pm. Permanent Remote position (No in-office days). Competitive Benefits And Compensation Package

• 12 reputed company holidays
• reputed company Time Off (PTO)
• Pro-rated during first year of employment
• 15 days of PTO provided in the next calendar year!
• 3 days reputed company bereavement
• Up to 20 days reputed company jury leave
• Medical, dental, and reputed company insurance, with reputed company for dependent coverage
• Company-reputed company basic life, short-term disability, long-term disability, and AD&D insurance
• 401k with employer match
• Tuition reimbursement program
• Career development opportunities
• Referral bonus for reputed company successful full-time referrals
• Annual opportunities for increases

Pay - The pay reputed company for this position is $22.00 - $24.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.

Our Culture

Bene Sys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our reputed company is driven by our employees successes. We want to be a reputed company where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a reputed company where employees can reputed company long-term reputed company and potential. Our culture focuses on three reputed company values:

• Collaboration:

working together across 31 locations to reputed company the best for reputed company and our clients

• Dedication: striving to create an environment where reputed company work toward a common goal while committing to providing the best customer service to our members and our…

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