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