Claims Examiner

***$750 Sign-on Bonus***

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, then HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do

HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

What you’ll do

We’re looking for an organized and detailed individual with a background in medical billing and coding to join our Claims Operations team. In this role you’ll process medical claims according to our clients’ varying medical benefit plans. After successfully completing training, you’ll be assigned to a specific block of group plans. In additional to gaining authoritative knowledge of those client plan benefits, your expertise will support the client/customer relationship as you assist members, provider and clients with questions regarding their claims and/or policies.

In this role, you’ll also:

• Maintain quality and production levels as determined by management
• Maintain updated filings for claim benefit investigation (medical necessity reviews, etc.) as required in accordance with plan benefits
• Prepare filings for outside vendors (subrogation) as required in accordance with the plan benefits
• Handle correspondence from Plan Correspondent and/or employees in a timely and efficient manner
• Resolve claim issues that do not require outside involvement

What you bring:

• A High School Diploma or equivalent; prior experience in claims processing
• The ability to work independently and as part of a team
• The ability to prioritize tasks, work within timeframes and meet deadlines
• The ability to recognize and maintain confidentiality, and communicate in a professional manner.
• Proficiency with Microsoft Word and Excel (required)

Bonus points if you have: Knowledge of medical terminology and/or billing and coding (preferred)

Why choose us?

• Our space is a reflection of who we are—innovative, open and collaborative.
• Love to get creative? We do too. Let the juices flow and brainstorm in one of our team break-out rooms.
• We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.
• Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.
• We offer our employees incredible health coverage, a 401(k), employer-paid disability, EAP, hybrid work arrangements (depending on the position), and quarterly bonuses.
• We’re a people-first company and value giving back to our community. Ask us about our employee mini-grant program and volunteer opportunities.

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability Employer