Claims Examiner (Milwaukee, WI

Please see below for a current listing of available positions at Bene Sys.

Location: Milwaukee, WI

Job :2639

# of Openings:1

Summary - Processes routine medical, dental, vision and HRA claims and provide customer service, including providing information to hospitals, physicians and participants regarding eligibility, benefits and claims status.

• Process routine medical, dental, vision, HRA claims in accordance to plan benefits.
• Provide customer service by responding to and documenting telephone and/or written inquiries.
• Consistently meet established performance standards, including quantity and quality claims processing standards.
• Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in the payment of claims, customer service, and all other job functions.
• Regular and predictable attendance is an essential function of this job.

• High School diploma or equivalent required.
• Basic knowledge of benefits claims adjudication principles and procedures, medical and/or dental terminology and ICD-9 and CPT-4 codes.

• Proficient with computers including keyboarding including 10-key (demonstrated ability to type quickly and accurately) and use of Microsoft Word, Outlook, and Excel.
• Provide excellent verbal and written communication skills and be capable of responding to high quality customer inquiries.
• Possess a strong work ethic and team player mentality.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
• Strong decision-making, problem-solving, organizational skills and able to work in a "team" environment.

Full-time. Monday - Friday, 8:00am - 4:30pm. Requires in-office days with possibility of one work from home day per week after full training.

• Vacation & Sick Time following 6 months of employment
• 12 paid holidays
• 1 floating holiday (determined by the company)
• Employer-paid term life insurance
• Long term disability insurance
• 401k with employer match

This is a union position. The current pay for this position $35.33 an hour. The pay rate for this position is determined by the collective bargaining agreement and may be dependent on skills, education, experience and other business factors.

Bene Sys 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:

• 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

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.