GBS Benefits, Inc. ยท 6 days ago
Claims Specialist (Employee Benefits)
Salt Lake City, UT
Full-time
Onsite
New Grad, Entry LevelGBS Benefits, Inc. is the leader in experience, innovation, and services when it comes to customizing the employee benefits offerings for clients. The Advocacy Specialist delivers white-glove healthcare advocacy to members, acting as a trusted guide to resolve issues and advocate for members' needs in navigating healthcare benefits and claims.
Insurance
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
Qualification
Required
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
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
Technically savvy and proficient with ongoing improvements in processes
Proven use and understanding of Microsoft Office
Preferred
Prior experience with insurance, claims, benefits, or EOBs is highly preferred
Insurance / Claims / EOB knowledge highly recommended
Company
GBS Benefits, Inc.
We're not just any benefits consulting firm. We're GBS.
Founded in 1989
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Daniel A. Nelson
Chief Executive Officer
Abby M.
Senior Vice President of Strategic Partnering & Growth
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