Benefits Claims Examiner
Summary
Title:Benefits Claims Examiner
ID:38446744073709551619
Company:GMS
Location:Richfield, OH
Job Status:Full time
Description

Group Management Services (GMS) is seeking to hire a full time Benefits Claims Examiner in the Richfield, OH office.

SUMMARY:

The Benefits Claims Examiner is responsible for analyzing and correctly adjudicating claims for GMS TPA operations.

ESSENTIAL DUTIES:

  • Examine, process, and adjudicate claims for medical, dental, and prescriptions 
  • Resolve issues and identify customer needs (call on issues if missing information or additional info is needed)
  • Investigate all code review output for a claim and correctly process according to set procedures
  • Process 80 medical claims per day, at a minimum
  • Maintain 99.7% of claim efficiency
  • Perform all other duties as assigned by management

QUALIFICATIONS:
 
  • Education/Experience - High School diploma (or GED or High School Equivalence Certificate) required; Bachelor's degree and 1-2 years related experience preferred; or equivalent combination of education and experience


COMPENSATION/BENEFITS:
 

  • Compensation commensurate with experience
  • Benefits – Medical, Dental, Vision, 401(k), Short Term Disability, Long Term Disability, Tuition Assistance, PTO
  • Great work/life balance
  • Cell phone reimbursement


Professional Employer Organizations (PEO) are quickly becoming the future of employee workforce management.  Not only is it a growing industry, but GMS is one of the fastest growing companies within it.  Since 2014 we have grown from 3 total locations based out of Ohio to 10 total locations across 8 states, have more than doubled in size, and most recently have been recognized as a Certified Professional Employer Organization (CPEO).

An inclusive, family oriented, and progressive company culture is the driving force behind this growth.  Don't miss out on a life changing career opportunity.  Become a part of the family and join one of the most exciting and innovative companies today!


For more information please visit our website at www.groupmgmt.com

GMS is an Equal Opportunity Employer

This opening is closed and is no longer accepting applications
ApplicantStack powered by Swipeclock