Entry-Level Dental, Vision & Hearing Claims Examiner

ManhattanLife Insurance & Annuity Company; Houston (TX); On-site; USD 32,000 - 45,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Flexible schedule

Free parking

LOMA training

Wellness program

Job summary

ManhattanLife Insurance and Annuity Company is seeking an Entry Level Claims Examiner for our Dental, Vision & Hearing team in Houston, TX. The position involves evaluating and processing claim submissions and providing customer service to policyholders over the phone.

Minimum qualifications include a high school diploma or GED and either 1+ years of claims experience or related knowledge. The role offers full-time hours with career development opportunities and comprehensive benefits.

Qualifications

• High School diploma or equivalent (GED).
• 1+ years of claims experience preferred.
• Solid knowledge of ICD-9, ICD-10 or medical coding.
• Excellent phone skills and an ability to communicate in a friendly and effective manner with our customers.
• Background in insurance claims is preferred in any discipline of Medicare Supplement, Dental, Vision & Hearing, Cancer, Home Healthcare, Short Term Care, or Disability.
• Understanding of basic medical terminology.
• Ability to work independently and in a team environment.
• Ability to prioritize and manage workload to meet deadlines.

Responsibilities

• Analyze claims based on all claim documentation received and provide timely follow-ups for claims being adjudicated.
• Process and resolve insurance claims in accordance to claim procedures, policy provisions and limitations, policy application, underwriting guidelines, medical conditions, company philosophy and state insurance laws.
• Make decisions and ensure the successful resolution of inquiries and complaints by preparing accurate and timely activity reports.
• Correspond with insured, doctors, hospitals, and other third parties to collect data.
• Process payments.
• Explain decisions to customers through appropriate communication channels.
• Communicate via written correspondence or e-mail to claimants.
• Confirm the validity of the contract between the company and Policy-owner on Agency issued contracts, process policy amendments or rescissions when necessary.

Skills

Phone communication

Teamwork

Independent work

Deadline management

Medical terminology

Education

High School diploma or GED

Tools

WebEx

Job description

ManhattanLife Insurance and Annuity Company is seeking an Entry Level Claims Examiner for our Dental, Vision & Hearing team in Houston, TX. The position involves evaluating and processing claim submissions and providing customer service to policyholders over the phone.

Minimum qualifications include a high school diploma or GED and either 1+ years of claims experience or related knowledge. The role offers full-time hours with career development opportunities and comprehensive benefits.