Health Benefits Claims Examiner

Cobalt Benefits Group LLC•South Burlington, VT

About The Position

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Health Benefits Claims Examiner, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members. Reporting to the Claims Manager, the Health Benefits Claims Examiner is responsible for various administrative tasks related to services and claims for our health plans. The ideal candidate is detail-oriented, with exceptional communication skills, and a background in healthcare/insurance processing. We are hiring for multiple positions with a May 26, 2026, start date.

Requirements

At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
Strong interpersonal skills with excellent verbal and written communication skills.
Keyboard and Windows skills are a must.
Ability to work using Excel spreadsheets.
Eager to learn the TPA industry and new concepts and processes.

Nice To Haves

Blue Care experience and medical coding and terminology a plus.

Responsibilities

Ensure accuracy of claims adjudication while maintaining quality and turn around goals.
Adjudicate medical, dental and vision claims.
Review plan documents for various groups to apply appropriate benefits to claims being adjudicated.
Prioritize assigned claims by adjudicating oldest claims first.
Communicate effectively with internal auditors and management team.
Perform other related duties, as assigned.

Benefits

Fantastic medical, dental, and vision insurance
Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
Company provided Basic Life and AD&D
Company paid Short-Term and Long-Term Disability
Flexible Spending Accounts
401(k) Retirement Plan with up to a 6% employer-match WOW! (100% fully vested after 3 years)
10+ paid holidays
Generous paid vacation and sick time
Annual Volunteer Paid Day
Annual Tuition Reimbursement
Annual Health and Wellness Reimbursement
Lots of fun company events