[Hiring] Claims Adjuster @Health Plans Inc

Role Description

The Claims Adjuster is responsible for the adjusting previously paid medical, dental, and/or short-term disability claims in accordance with applicable plan benefits. The Claims Adjuster is also responsible for the completion of claims related special projects as assigned by area management.

In this role, you’ll also:

• Adjust/Process claims in accordance with plan benefits
• Maintain quality average of 98%
• Handle adjustment requests in a timely and efficient manner
• Special projects as determined by area management
• Provide assistance to examiners to ensure accurate timely claims processing of adjustments
• Perform other various tasks that are deemed necessary and equitable by the claims supervisors

Qualifications

• High School diploma or equivalent education
• One to two years’ of HPI claims processing experience
• Proficiency in Microsoft Office, including Word, Excel, Outlook and PowerPoint

Benefits

• Medical, Dental and Vision and Prescription Drug Coverage
• Fitness Reimbursement Benefit
• Employee Assistance Program
• Flexible Spending Account & Health Savings Account
• 401(k) and Quarterly Bonuses
• Generous Paid-Time Off & Volunteering Opportunities
• Educational Assistance & Professional Development Opportunities

Company Description

HPI is unique. A respected industry leader that’s been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers.

Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.