Claims Specialist – Employee Benefits
Leavitt Group
full-time
Posted on:
Location Type: Hybrid
Location: South Salt Lake City • Utah • United States
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About the role
- Serve as a primary point of contact for members needing help navigating healthcare benefits and claims.
- Investigate and resolve denied or complex medical and pharmacy claims.
- Analyze Explanation of Benefits (EOBs), plan provisions, and coding to determine next steps.
- Advocate with insurance carriers, administrators, and providers to achieve fair and timely resolutions.
- Clearly communicate plans, timelines, and outcomes while providing reassurance and support.
- Build strong relationships with internal teams and external carrier contacts.
- Document cases accurately and stay current on evolving healthcare and benefits information.
Requirements
- A strong investigative and analytical mindset with attention to detail.
- High levels of empathy, professionalism, and emotional intelligence.
- Excellent written and verbal communication skills.
- Ability to manage multiple cases in a fast-paced, constantly changing environment.
- A collaborative, “can-do” attitude with a willingness to jump in and help.
- Comfort seeing both the details and the big picture.
- Prior experience with insurance, claims, benefits, or EOBs is highly preferred.
- Proficiency with Microsoft Office and comfort learning new systems.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
investigative skillsanalytical skillsattention to detailclaims resolutionEOB analysiscoding knowledgeinsurance knowledgebenefits navigation
Soft skills
empathyprofessionalismemotional intelligencewritten communicationverbal communicationcollaborationadaptabilityproblem-solving