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Claims Adjuster

UEBT

in WA

Logo for UEBT

Join Our Team at UEBT as a Claims Adjuster!

We seek a meticulous and service-oriented onsite Claims Adjuster to join our team at United Employees Benefit Trust in Tacoma, WA. In this role, you will play a crucial part in managing insurance claims, assisting participants with benefits, and ensuring compliance with relevant benefit notices. This position offers a rewarding opportunity to engage directly with our members and contribute significantly to our operations.

Job Summary: The Claims Adjuster is responsible for reviewing, investigating, and processing various insurance claims, maintaining our employee database, and upholding compliance standards.

Supervisory Responsibilities: None.

Duties/Responsibilities:

1. Customer Service:

  • Answer phones and assist members visiting the office.
  • Respond to inquiries regarding claims, benefits, and eligibility.

2. Claims Processing:

  • Process medical, prescription, dental, vision, and time loss claims.
  • Disburse time loss benefits and engage with claimants
  • Process weekly payment files, including printing and mailing claim payment notifications to members.
  • Monitor and update the claims processing system.

3. Accounts Payable/Banking:

  • Reconcile bank accounts and implement Positive Pay procedures.
  • Manage payables and issue payments.

4. Participant Maintenance:

  • Maintain participant eligibility and files.
  • Distribute new member documents.

5. Premium Remittance Processing:

  • Process and verify monthly remittances.
  • Resolve administrative issues with employer representatives.

6. Dental, Vision, Preferred Provider, and Pharmacy Network Management:

  • Collaborate with network partners to resolve conflicts and process claims.

7. Public Engagement:

  • Participate in employer site visits, benefit fairs, and presentations.

Required Skills/Abilities:

  • Excellent communication and computer skills.
  • Familiarity with medical, dental, vision, and prescription terminology.
  • Ability to work independently.
  • Intermediate proficiency with Microsoft Excel, Word, and Outlook.

Preferred Skills:

  • Knowledge of health insurance regulations.
  • Demonstrated experience in problem/conflict resolution.
  • Bilingual in English/Spanish.

Education and Experience:

  • Minimum two years of administrative, professional office, and customer service experience with at least one year of experience in multi-line insurance claims or customer service.

Physical Requirements:

  • Prolonged periods of desk work.
  • Ability to lift up to 15 pounds occasionally.

Benefits:

  • Medical, Dental, and Vision are full family coverage with 100% premium paid by UEBT.
  • Short-term disability coverage for employees.
  • Teamsters Pension: Robust pension plan for long-term stability.

Why Join UEBT?

  • Impactful work in a supportive environment.
  • Opportunity to directly assist our members.
  • Quiet and professional work environment.

How to Apply

Jacquelyn Lloyd Consulting is conducting this search on our behalf. To apply, please email your cover letter and résumé to hello@JacquelynLloyd.com.


A Verified Employer
UEBT has trusted BenefitsLink to help reach qualified candidates for this opening.

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