Claims & Eligibility Specialist
On-siteMoline, Illinois, United States
Job Summary
Process weekly disability claims, answer member questions regarding eligibility, benefits, and coverage, and prepare COBRA notices. Verify coverage and provide claim status updates to providers while acting as a liaison between members and the pharmacy benefit manager. Record daily deposits, reconcile bank statements and QuickBooks reports, and prepare monthly, quarterly, and annual tax returns. Maintain accurate documentation for member eligibility, billing, and pension payroll files. Assist with reception, telephone answering, and office functions as needed. This in-person role at the RJ Lee office in Moline supports the Union/Taft-Hartley benefits consulting team, requiring a high school diploma, customer service experience, and basic accounting skills.
Required Qualifications
- High school diploma or equivalent.
- Previous customer service experience.
- Previous experience with medical insurance, benefit plan administration, medical claims processing, and/or third-party administration.
- Basic knowledge of medical insurance with the ability to answer plan and coverage questions.
- Strong attention to detail and accuracy in work.
- Excellent customer service skills, including the ability to have positive customer interactions and maintain positive customer relationships.
- Excellent computer skills, including the ability to utilize Microsoft programs (Outlook, Word, and Excel), web-based computer applications, and other agency management systems.
- Excellent time management and organizational skills, including the ability to handle multiple projects or tasks, meet established deadlines, and change priorities as business needs require.
- Excellent communication and interpersonal skills, including both written and verbal communication.
- The ability to work collaboratively in a team environment, but also independently with minimal daily supervision.
- The ability to utilize basic office equipment, such as a computer, keyboard, mouse, monitors, printer, copier, and scanner.
- All offers of employment are contingent upon the satisfactory completion of a pre-employment background check.
- This is an in-person position located in our Moline office.
- The work schedule is Monday-Friday 8:00 AM to 4:30 PM (with a 30-minute lunch).
Desired Qualifications
- Additional experience with Taft-Hartley plans is helpful, but not required.
- Basic accounting experience is also helpful, but not required.
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