- Process Flex claims in the appropriate amount of time to ensure that member receives payment in a timely 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 basis.
- Determine benefits for multiple groups to process claims correctly, and retrieve documentation required by each group for payments to go out; outcome is either the issuing of a check or sending letters of rejection with proper 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 overpayments; request refunds from members when overpayments are made.
- Run checks on assigned days weekly, for SUB, Disability, Flex and Death Benefits, advise Operations of these check runs, and coordinate with accounting on the release of checks.
- Process stops payments, voids and refunds for all benefit types.
- Provide back-up for Customer Service and Eligibility; take calls in assigned queue for SUB, Disability, Flex 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 gather information needed for different life insurance carriers for processing of death benefits.
- Maintain claims processing quality 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.
- 12 paid holidays
- Paid Time Off (PTO)
- Pro-rated during first year of employment
- 15 days of PTO provided in the next calendar year
- 3 days paid bereavement
- Up to 20 days paid jury leave
- Medical, dental, and vision insurance, with option for dependent coverage
- Company-paid 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 all successful full-time referrals
- Annual opportunities for increases
- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
-
We are seeking detail-oriented individuals with superior customer service and negotiation skills to investigate and process both first- and third-party claims. · ...
Sterling Heights1 month ago
-
Cherokee Insurance Company seeks an entry level liability adjuster for their Sterling Heights MI office. · ...
Sterling Heights, MI1 month ago
-
Cherokee Insurance Company, a leading casualty insurance provider to the transportation industry is seeking an entry level liability adjuster for our Sterling Heights, MI office. Cherokee Insurance is rated 'A' (Excellent) by A.M. Best Company. Now is your chance to join a team o ...
Sterling Heights $50,000 - $85,000 (USD) per year8 hours ago
-
Cherokee Insurance Company, a leading casualty insurance provider to the transportation industry, seeks an entry-level liability adjuster for its Sterling Heights office. Rated 'A' (Excellent) by A.M. Best Company, this is an exceptional chance for learning and career advancement ...
Sterling Heights $50,000 - $85,000 (USD) per year2 days ago
-
Job Title: EDI Claims Analyst · Job Location: Remote · Job Type: Contract · Job Description: · The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves review ...
Southfield, Michigan, United States $60,000 - $80,000 (USD) per year1 week ago
-
· Company Description · United Road is the most diversified finished vehicle logistics provider in North America. We employ approximately 1,800 professionals, operating out of nearly 75 locations strategically positioned in every region of the United States, creating a superior ...
Romulus, MI, USA $50,000 - $85,000 (USD) per year1 week ago
-
We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and serving the aging population are at the forefront. · Provide technical support and expertise in syst ...
Detroit, MI1 month ago
-
Michigan Paving and Materials is seeking a Claims Manager who can manage and complete various claims and processes throughout the organization and third-party systems associated with the Risk and Safety Department. · This position will be based out of the Michigan Paving and Mate ...
Westland1 month ago
-
Michigan Paving and Materials is seeking a Claims Manager who will manage various claims processes throughout the organization. · Provide oversight of Workers Compensation and Liability claims. · Mitigate risk by coordinating all claims-related activities. · ...
Canton, MI $50,000 - $85,000 (USD) per year1 week ago
-
Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied... · ...
Warren2 months ago
-
Overview · Why AAA Life · AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our pr ...
Livonia, MI4 days ago
-
The Claims Support Analyst will conduct audits of claim files and respond to customer inquiries at AAA Life. · ...
Livonia, MI1 month ago
-
· Overview · Why AAA Life · AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promi ...
US-MI-Livonia9 hours ago
-
Description · ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS emplo ...
Southfield, MI, United States1 week ago
-
+The Senior Claims Support Analyst supports both the Claims and Treasury functions by ensuring the efficient flow of funds, accuracy of claims payments, and continuous improvement of claims financial processes. · ...
Livonia, MI3 weeks ago
-
Canton MI US · Michigan Paving and Materials is seeking a Claims Manager who can manage and complete various claims and processes throughout the organization. · ...
Westland1 month ago
-
Michigan Paving and Materials is seeking a Claims Manager who can manage and complete various claims and processes throughout the organization and third-party systems associated with the Risk and Safety Department. · ...
Westland, MI1 month ago
-
We're in need of temporary employment to help with our Claims Department in the Automotive Industry. We're seeking self-motivated individuals who have experience working in a fast paced environment. The Customer Service Specialist supports the Claims Department by managing email ...
Dearborn, MI1 week ago
-
We're seeking self-motivated individuals who have experience working in a fast paced environment. · The Customer Service Specialist supports the Claims Department by managing email correspondence and day-to-day communication with automotive dealers and finished vehicle carriers. ...
Dearborn, MI1 week ago
- Work in company
Health & Disability Insurance claims Analyst French & English &
Only for registered members
Job DescriptionDXC Technology helps global companies run their mission critical systems and operations while modernizing IT optimizing data architectures and ensuring security and scalability across public private and hybrid clouds The world s largest companies and public sector ...
Farmington Hills1 month ago
- Work in company
Health & Disability Insurance claims Analyst French & English &
Only for registered members
Lensa partners with DirectEmployers to promote this job for DXC Technology. · ...
Farmington1 month ago
Specialty Claims Analyst - Troy - BeneSys
Description
Specialty Claims Analyst (Troy, MI)Summary - The Specialty Claims Analyst will process Disability, SUB, Flex, and Death claims. Provide support for WEX 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.
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Wisconsin.
Essential Duties and Responsibilities include but not limited to
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Wisconsin.
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 (Summary Plan Description), user manuals and department rules & procedures. Ability to communicate with members, union 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
The pay range for this position is $ $24.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.
Our Culture
BeneSys 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 success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
-
Claims Analyst
Only for registered members Sterling Heights
-
Claims Analyst
Only for registered members Sterling Heights, MI
-
Claims Analyst
Cherokee Insurance Company- Sterling Heights
-
Claims Analyst
Cherokee Insurance Company- Sterling Heights
-
Claims Analyst
Only for registered members Southfield, Michigan, United States
-
Claims Analyst
Only for registered members Romulus, MI, USA
-
Claims Analyst
Only for registered members Detroit, MI
-
Claims Analyst
Only for registered members Westland
-
Claims Analyst
Only for registered members Canton, MI
-
Analyst, Claims Research
Only for registered members Warren
-
Claims Support Analyst
Only for registered members Livonia, MI
-
Claims Support Analyst
Only for registered members Livonia, MI
-
Claims Support Analyst
Only for registered members US-MI-Livonia
-
ESIS Medical Claims Analyst
Only for registered members Southfield, MI, United States
-
Senior Claims Support Analyst
Only for registered members Livonia, MI
-
Claims Analyst Job Details
Only for registered members Westland
-
Claims Analyst Job Details
Only for registered members Westland, MI
-
Claims Analyst/Customer Success Specialist
Only for registered members Dearborn, MI
-
Claims Analyst/Customer Success Specialist
Only for registered members Dearborn, MI
-
Health & Disability Insurance claims Analyst French & English &
Only for registered members Farmington Hills
-
Health & Disability Insurance claims Analyst French & English &
Only for registered members Farmington