Benefits Claims Processor - Western & Southern Financial Group : Job Details

Welcome to Western & Southern Financial Group – Our focus on creating value for our customers through everything we do is foundational to who we are. We provide meaningful and challenging work for our associates, a key facet of our incredible culture that helps make Western & Southern a career destination.

135 years of operating history;

• Born as a modest, door-to-door life insurance business and built to last forever
• Ranked 314 on Fortune 500
• Ranked No. 29 among Fortune 500 companies as a best company for career growth
• Award winning Talent Development Team
• Top 10 for Top Spouse Employer and Military Friendly Employer in 2023
• We consider Cincinnati the best place to live, work and celebrate life – that is why we are committed to doing good for our community

Our Culture

We are building our company to thrive and provide value to our customers, business partners and associates over the long term. To accomplish this, we look for professionals who embody our culture of integrity, top-notch performance, collaboration and teamwork. We are committed to hiring and developing associates who are driven to excel, have a strong work ethic and use astute, fact-based and ethical judgment in decision-making.

A Day in the Life –

The Claim Processor processes medical and flexible spending account claims in accordance with the provisions of multiple welfare plans administered by the Benefits Department. This position approves claims involving payments up to $4,000. Utilizes Claim Facts System and Flexible Spending Account System to accomplish functions. Claims experience and medical terminology experience preferred.

Duties and Responsibilities

• Coordinates claims with Medicare and other group insurance carriers. Must have working knowledge of rules established by Medicare for coordination of benefits and rules established by the (NAIC) National Association of Insurance Commissioners for other group insurance.
• Must be capable of detecting fraud or potential fraudulent claims.
• Maintains a working knowledge of medical terminology to interpret medical reports and bills to properly adjudicate claims. Keeps abreast of new medical procedures and terminology.
• Determines proper payees for benefits in order to discharge Company's liabilities.
• Maintains compliance with applicable federal and state laws (e.g., HIPAA)

To view the full job description please visit –

‘Premier Benefits to Support YOU'

• Comprehensive benefits including medical, dental, vision, prescription, pet insurance, life insurance, disability, Fertility, maternity/caregiver & parental leave, and more!
• Retirement solution with our 401(k) savings AND pension plan!
• Paid time off that increases with tenure.
• Tuition Reimbursement
• Subsidized affordable parking
• On-site Cafeteria and fitness center (including sports leagues)
• On-site Registered Nurse
• Career Coaching/Mentoring
• Individualized development plans and career pathing

Learn more about who we are visit; www.westernsouthern.com/careers/home-office-careers.