Claims Examiner/Member Services Representative

United Employers Association and its Affiliates•Portland, OR

17d•Hybrid

About The Position

Small Health and Welfare Claims Administrator seeks a full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clients. This is a full-time, in-office position initially with the potential for hybrid work after the training period is completed. The successful candidate must be detail-oriented, possess excellent interpersonal skills, be a master communicator, and demonstrate a strong desire to assist others and continuously learn. If you value work/life balance, stability, collaborative decision-making, and a quirky, relaxed work environment, we want to talk to you.

Requirements

HS Diploma, college degree preferred
Two years claims experience in a healthcare environment
Customer service experience preferred
Excellent written and verbal communication skills
Knowledge of medical terminology, billing, and IDC-10 and CPT codes
Keen attention to detail; analytically and mathematically inclined
Proficiency in Microsoft Office suite
Excellent time-management, problem-solving, and organizational skills
Must be mature, reliable, have a stellar work ethic, and also possess enthusiasm, initiative, and curiosity
Patience and sense of humor are equally essential

Responsibilities

Process medical, dental, and vision claims with speed and accuracy
Professionally respond to member and provider requests via telephone, email, and in-person
Assess and resolve problems within the scope of authority, escalate complex problems to senior staff
Employ clarity, efficiency and compassion when communicating with clients
Clearly document all customer contacts
Support other claims examiners and administrative team as needed