Benefit Processor
Currently seeking a Benefits Processor to join the team at a local insurance company. Job Description:The main function of the Benefits Processor is to analyze disability claim information, make benefit decisions and payments on lower liability claims; administer low maintenance claims; provide administrative support for the department's management of disability claims including the set-up and distribution of new claims; provide responsive customer service to claimants, policyowners, Benefits staff, and group offices.
Investigate, secure and analyze information pertaining to claimant's medical condition, insured status and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits for low liability and short duration claims; identify, file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed time frames.
Make and communicate disability decisions and issue correct benefits for low liability and short duration claims.
Establish system records, analyze member eligibility, set up new claim files, provide updates to claimants on incomplete claims and respond to inquiries from claimants, policyowners, group offices, and other interested parties.
Provide information and assistance to claimants, policyowners, and group offices by promptly answering telephones and responding to specific questions about claims and policies.
Skills & Qualifications:
Attention to detail and accuracy.
Ability to review documents for completeness and follow up to secure missing information; analyze claim facts and apply contract provisions accurately.
2+ years of experience working with insurance, benefits, or claims processing.
Schedule: Must be available to come onsite in Hillsboro 1 day per weekPay and BenefitsThe pay range for this position is $25.00 - $25.00/hr.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a hybrid position in Hillsboro,OR.Application DeadlineThis position is anticipated to close on Mar 28, 2025.About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.