FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Employee Benefits Claims Coordinator
MST Insurance Solutions, Inc.. Provide claims support and advocacy for clients and their employees .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates the ability to provide claims support and advocacy, effectively communicate with employees and insurance carriers, and assist with various types of claims including medical, dental, and disability. Proficient in researching claim inquiries and understanding Explanation of Benefits (EOB) statements.
Highest-signal resume keywords
Claims SupportEmployee BenefitsInsurance TerminologyClaim ProcessingCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim ResearchEOB Statement UnderstandingPre-Authorization AssistanceBenefit ReviewClaims Procedures
Soft Skills
Clear CommunicationCustomer AdvocacyProblem Solving
Industry Keywords
Employee BenefitsInsurance IndustryHealthcare ProvidersClaim StatusCarrier Processes
About the role
Key responsibilities & impact- Provide claims support and advocacy for clients and their employees
- Serve as a liaison between employees, insurance carriers, healthcare providers, and the Account Management Team
- Research claim inquiries and identify causes of claim processing issues and appropriate next steps
- Assist employees with EOB statements, claim status, carrier requests, and claim-related communications
- Assist with denied, incorrectly processed, or outstanding medical, prescription drug, dental, vision, life, and disability claims
- Assist with pre-authorization and prior authorization issues
- Assist with benefit and coverage inquiries by reviewing plan information
- Escalate claim issues with insurance carriers when additional review or intervention is necessary
- Provide timely follow-up, clear communication, and customer service throughout claim resolution
Requirements
What you’ll need- Entry-level position
- Interest in developing a career in the employee benefits and insurance industry
- Training will be provided on employee benefit plans, insurance terminology, carrier processes, and claims procedures
- Ability to work with employees, insurance carriers, healthcare providers, and account management teams
- Ability to research claim inquiries and identify causes of claim processing issues
- Ability to understand and explain Explanation of Benefits (EOB) statements, claim status, and carrier communications
- Ability to assist with medical, prescription drug, dental, vision, life, and disability claims
- Ability to assist with pre-authorization and prior authorization issues
- Ability to review plan information and confirm benefits, limitations, and requirements