Job Listings

Claims Examiner I - Cleveland, OH

Broadview Heights, Ohio
Job number: 4323

Job Description:

Claims Examiner I - Cleveland, OH

Primary Duties & Responsibilities

Amazing opportunity for career progression.

Globe Life Family Heritage Division is looking for an Claims Examiner I to join their team in the Claims Health FHL department for our corporate location in Broadview, Ohio.  This is a full time opportunity working on-site with the possibility to work remote based on performance.

We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short – term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.

Come join our team!

 

Job Duties

  • Prompt and timely processing of supplemental accident, health and life claims accurately within deadlines
  • Follow required department procedures and guidelines to ensure compliance with HIPAA, legal and insurance laws and regulations, and state specific policy and benefit contract provisions
  • Phone correspondence with medical facilities, providers, policyholders, and agents
  • Review medical records and various documentation to analyze and apply policy benefits, limitations and exclusions
  • Back up phone support for the department's Call Center Unit as needed
  • Assist with various department functions, projects, and assignments as directed     

Required Skills

Required Skills

  • Must have a high level of quality focus on providing excellent customer service
  • Ability to process a high volume of claims efficiently and accurately
  • Critical problem solving, decision making, and analytical skills
  • Excellent verbal, communication, and written skills
  • Strong organizational and research skills
  • Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
  • Works well independently
  • Team player
  • Reliable and predictable attendance of your assigned shift
  • Ability to work Full-Time and/or Part-Time based on the specific position for which you are applying.

Required Knowledge & Experience

Required Knowledge & Experience

  • Minimum of five years prior phone/customer service and office experience
  • Previous experience in a Claims service environment preferred
  • Medical terminology/medical office background desirable
  • Bilingual skills a plus 

Location: Broadview Heights, Ohio

Apply Now

Current employees apply here.

Savings and Investment Plan (401K) - Eligible employees may begin participating in the plan on the first day of employment.

Pension Plan - Eligible employees who complete one year of service with the Company become participants in the Pension.* (Not available to Cleveland Employees)

Medical - Benefits are available to all eligible employees and qualified dependents the first of the month following 30 days of continuous service.

Dental** and Vision - Eligible employees and qualified dependents are able to enroll the first of the month following 30 days of continuous service.

Flexible Spending Accounts (FSA) - Our FSA has two components, Health Care and Dependent Care Accounts. These accounts allow employees to set aside a portion of their earnings on a pre-tax basis to cover out-of-pocket medical and dependent care expenses. Participation is elected on a calendar year basis and is available to all eligible employees the first of the month following the completion of 30 days of continuous service.

Health Savings Accounts (HSA) - A pre-tax Health Spending Account (HSA) is offered to those who enroll in the High Deductible Plan. It allows you to pay for many of the health care expenses not covered by your medical plan including deductibles and co-pays. Participation is elected on a calendar year basis and is available to all eligible employees the first of the month following the completion of 30 days of continuous service. Company contribution to HSA ($4500 family, $2500 single plans)

Short-Term Disability - Eligible employees may be entitled to salary continuance during periods of temporary disability. Benefits are based on employee status and years of service.*

Group Life and Long-Term Disability** - Eligible employees may elect life insurance and long-term disability coverage the first of the month following 30 days of continuous service.

Vacation and Paid Holidays - Employees are eligible for vacation upon the completion of six months of employment. In addition, the Company offers eight paid holidays.

Education Assistance - The Company supports employees who wish to continue their education to secure increased responsibility and growth within their professional careers. We offer a reimbursement program for expenses incurred through approved institutions of learning. In addition, Fellow, Life Management Institute (FLMI) and International Claim Association (ICA) program courses are offered after the completion of six months of services at no cost to the employee.

Fitness Reimbursement - Eligible employees are able to receive up to 100% reimbursement for monthly dues (employee only).

Supplemental Plans** - Cancer, Heart/Stroke, Accident.

*Please note, some benefits may vary by subsidiary. Please be sure to clarify with the Human Resources Department.
**Company paid benefit

Do I have to apply for every job that I am interested in? - Yes. Though our Talent Acquisition Team searches our database for qualified candidates, the only way to ensure that we know what position is of interest to you is if you apply for it directly.

Now that I've applied, what happens? - You will receive an immediate response from our system. Someone from our Talent Acquisition Team will review your qualifications and skills. If you're a good fit, we'll contact you to conduct an initial interview by phone, followed by assessment testing and an in person interview(s).

How do I get the contact information of the hiring manager for the job I am interested in? - It is our policy not to give contact information to external applicants. If, after you apply, it is determined that your skills and qualifications match our hiring needs, you will be contacted directly for an interview by someone on our Talent Acquisition Team.

I've been interviewed, what's next? - If selected, we'll extend a conditional offer. Then, pending a successful background check and drug screen, we'll confirm a start date.

The Whole Globe

Globe Not only is it in our name, it’s in our hearts. Our Company thrives off of diversity and has created a culture focused on inclusivity. These two components are the pillars of our foundation and the guiding principles that build our employees and leaders.

No Ceiling

SmileThe insurance industry may be traditional, but Globe Life has been, is, and always will be dedicated to building an inclusive, sustainable, and inspiring environment that does not have a ceiling on growth.