Evry Health is seeking a Claims Specialist. Claims Specialists are responsible for the end-to-end claims adjudication process. This includes testing claim configuration and benefit set up to review of the claim form, verification of eligibility, verification of coordination of benefits with other insurance carriers and finalizing claim determination based on the health benefits plan. Claims Specialists have responsibility to audit auto-adjudicated claims to ensure claim accuracy. They also ensure that claims are processed in accordance to State and Federal regulations and meet the company’s contractual obligations. Claims Specialists are responsible for writing and maintaining the desk top procedures associated with claim adjudication. This role reports to the Vice President of Operations with oversight from the Claims Team Leader.
About Evry Health and Globe Life
We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives.
Evry Health is the major medical division of Globe Life (NYSE:GL). Globe Life has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, Globe Life has earned an A (Excellent) rating or higher from A.M. Best Company.