Globe Life · 1 day ago
Medicare Examiner II (Remote)
United States
Full-time
Remote
New Grad, Entry LevelGlobe Life is a company committed to empowering its employees with support and opportunities. They are seeking a Medicare Examiner II to support the claim operation by gathering and organizing claim information for processing by claim examiners.
Financial ServicesInsurance
Responsibilities
Review correspondence and Explanation of Benefits (EOBs) to verify the reason for the returned check (i.e., refund or reissue)
Process refunds due to overpayments and ensure monies are credited to the appropriate account/company
Request additional information from the provider required to accurately process refunds, as needed
Route checks that need to be reissued to the appropriate examiner for processing
Identify non-claim related checks and route to the appropriate business units (i.e., Unclaimed Property, Premium Accounting, Agency Services, etc.)
Coordinate with General Accounting for verification of check status on void/stop payment requests
Respond to incoming inquiries received through various channels (i.e., Customer Service, faxes, email, etc.)
Maintain and ensure the security of the file cabinet with refund checks and other correspondence
Review daily On-base reports to perform reconciliation of the previous day's refunds
Meet or occasionally exceed established standards for productivity and quality, and maintain claim turnaround time with an accuracy of less than 2% error ratio
Mail sorting, letter sending, claim indexing, customer contacts, and check processing
Ensure all appropriate documentation, including any missing documentation is concise
Maintain the LTC and Subrogation mailbox and responses
Attend and actively participate in departmental meetings, trainings, and coaching sessions
Maintain patient privacy and confidentiality in accordance with HIPAA standards
All other duties as assigned or as the situation dictates
Qualification
Required
High School Education
Reliable and predictable attendance of your assigned shift
Ability to work full time and/or part time based on the position specifications
Ability to compile and review information to make sound decisions
Skilled in performing intermediate arithmetic calculations
Excellent typing skills
Proficiency in Microsoft Office Suite (i.e. Outlook, Excel, Word) and other basic computer programs
Ability to thrive in a fast-paced environment while working independently and with limited supervision
Positive team-oriented attitude with flexibility to adjust to changes as they arise
Ability to multitask
Strong attention to detail and accuracy
Working knowledge of Onbase and Mainframe
Preferred
Health claims processing experience preferred
Benefits
Competitive compensation designed to reflect your expertise and contribution.
Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance.
Robust life insurance benefits and retirement plans, including company-matched 401k and pension plan.
Paid holidays and time off to support a healthy work-life balance.
Parental leave to help our employees welcome their new additions.
Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals.
Company-paid counseling for assistance with mental health, stress management, and work-life balance.
Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career.
Discounted Texas Rangers tickets for a proud visit to Globe Life Field.
Company
Globe Life
Globe Life is an insurance company.
Founded in 1951
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$250M2024-08-15Post Ipo Debt· $250M
2019-08-09IPO
Leadership Team
Frank Svoboda
Executive Vice President and Chief Financial Officer
Recent News
2026-02-04
PR Newswire
2025-11-07
Company data provided by crunchbase