Group Claims Examiner

Randstad
Atlanta, GA Full Time
POSTED ON 9/27/2023 CLOSED ON 10/19/2023

What are the responsibilities and job description for the Group Claims Examiner position at Randstad?

  • Are you looking to join a growing organization?
  • Are you experienced with group and individual benefits?
  • Are you experienced with voluntary benefit claims? 
If you said YES - keep reading - we may have the opportunity for you! Randstad Staffing is supporting a local insurance holding company who is growing in the Buckhead area! As their Group department is growing they are looking at add on an additional Group Claims Examiner. This individual will be responsible for processing the voluntary benefits claims adjudication. Coverage includes Critical Illness, Accident, Hospital Indemnity and Life products.  The role is responsible for the accurate input of claims information as well as reviewing and analyzing claims to determine eligibility.  In addition, the claims examiner may be involved in claims projects including research, resolution of discrepancies and the development of processes for improvement as necessary. If this sounds like a role that you would enjoy - APPLY TODAY! Why work for our client:
  • Opportunity to work for an open & approachable manager!
  • Beautiful office space near a large number of great lunch spots to choose from, amazing on-site cafe and free onsite gym!
  • Health, Vision, Dental, Life Insurance, 401K, supplemental insurance options 
  • Free parking
  • 4 Weeks of PTO
  • Annual performance reviews 
  • Growth!!!


salary: $50,000 - $75,000 per year
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

  • Provide exceptional service to claimants, internal and external customers in accordance with Company values
  • Investigate and resolve complex claims and make decisions on claim settlements
  • Ensure that claims are processed in compliance with company policies and industry regulations
  • Improving claims processes to gain operational efficiency while ensuring compliance
  • Meet or exceed minimum production averages and accuracy minimums for payment, procedure and financial goals.
  • Investigate and resolve complex claims and make decisions on claim settlements
  • Provide guidance and support to team members to help them resolve claims and improve their performance
  • Work closely with other departments, such as underwriting and customer service, to ensure a seamless claims experience for our customers
  • Participate in the development and implementation of policies and procedures to improve claim handling processes
  • Ensure regulatory compliance, quality and efficiency



Skills
  • Voluntary Benefits Claims (1 year of experience is required)
  • group claims (1 year of experience is required)
  • Ancillary claims (1 year of experience is required)
  • Hospital Indemnity Claims (1 year of experience is required)
  • Accident Indemnity Claims (1 year of experience is required)

  • Qualifications
  • Years of experience: 1 year
  • Experience level: Experienced

  • Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

    Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

    At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

    Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

    Salary : $50,000 - $75,000

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