Posting Date

Examine health claims for the Medicare Supplement line of business. Interact with internal and external customers, to answer inquiries, resolves issues, and handle customer concerns while maintaining a professional image through superb telephone etiquette and excellent customer service.

Responsibilities and duties

  1. Approve or reject health claims according to Everence policy and certificate guidelines.
  2. Complete data entry into Group+ to adjudicate claims charges.
  3. Perform appropriate correspondence via letter or telephone for claim completion.
  4. Answer inquiries regarding eligibility and confirmation of benefits for coverage of proposed services for Medicare Supplement plans
  5. Answer inquiries regarding status of claims payment for Medicare Supplement plans.
  6. Document all customer service contacts.
  7. Perform other duties and assignments as requested by manager.


  1. Excellent verbal and written interpersonal and communication skills including high level of listening skills.
  2. Customer oriented with the ability to adapt and respond to different types of customers with sensitivity.
  3. Demonstrates positive leadership skills and takes initiative.
  4. Ability to make quick and appropriate decisions despite interruptions.
  5. Flexibility with changing work patterns and/or varying work loads.
  6. Excel at problem solving.
  7. Attention to detail with the ability to multi-task, prioritize while manage time effectively.
  8. Medical and/or insurance background desirable.
  9. Proficient in use of Microsoft Office software.
  10. Ability to develop and maintain a strong sense of teamwork.
  11. High School graduate.
  12. Must be able to maintain call center hours.

Schedule: This is a full-time position.

Location: Everence Corporate office - Goshen, Indiana

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