Claims Specialist (Employee Benefits)

Leavitt Group • South Salt Lake, UT

2d • Onsite

About The Position

The Claims Specialist delivers white-glove healthcare advocacy to members of employer groups that partner with GBS. This is a challenging and deeply rewarding role for someone who enjoys problem-solving, investigation, and helping others navigate complex situations with confidence.
As a Claims Specialist, you will act as a trusted guide—owning member issues from start to resolution, advocating on their behalf, and ensuring they feel informed, supported, and cared for throughout the process.

Requirements

• A strong investigative and analytical mindset with attention to detail.
• High levels of empathy, professionalism, and emotional intelligence.
• Excellent written and verbal communication skills.
• Ability to manage multiple cases in a fast-paced, constantly changing environment.
• A collaborative, “can-do” attitude with a willingness to jump in and help.
• Comfort seeing both the details and the big picture.
• Prior experience with insurance, claims, benefits, or EOBs is highly preferred.
• Proficiency with Microsoft Office and comfort learning new systems.
• Sound reasoning and judgment to decipher a multitude of incoming issues.
• Maintain composure, analyze situations objectively, and provide helpful assistance.
• Strong verbal & written communication.
• Ability to decipher resources for yourself and clients and know when to utilize other GBS departments.
• Must be able to effectively prioritize tickets and meet deadlines.
• Insurance / Claims / EOB knowledge highly recommended.
• Technically savvy and proficient with ongoing improvements in processes.
• Proven use and understanding of Microsoft Office.
• Ability to consistently attend work, meetings and training or staff events.
• Must work with respect and work well with diverse personalities.
• Must meet or exceed team and overall company expectations.
• Must work well independently as well as contribute to a team environment.

Nice To Haves

• Spanish Preferred

Responsibilities

• Serve as a primary point of contact for members needing help navigating healthcare benefits and claims.
• Investigate and resolve denied or complex medical and pharmacy claims.
• Analyze Explanation of Benefits (EOBs), plan provisions, and coding to determine next steps.
• Advocate with insurance carriers, administrators, and providers to achieve fair and timely resolutions.
• Clearly communicate plans, timelines, and outcomes while providing reassurance and support.
• Build strong relationships with internal teams and external carrier contacts.
• Document cases accurately and stay current on evolving healthcare and benefits information.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed