Claims & Eligibility Specialist

Our client is searching for a detail-oriented Claims & Eligibility Specialist to support health plan administration, claims processing, eligibility verification, and general office operations for their team. This role requires strong customer service, organizational, and administrative skills, along with the ability to manage multiple responsibilities in a fast-paced environment. Apply today to be considered!

Work Model:

• On-Site

What You Will Do:

• Process disability and health plan claims
• Respond to questions regarding benefits, coverage, eligibility, and claims status
• Organize and share benefit-related communications and notices
• Confirm coverage and assist with claims information as needed
• Maintain accurate records and documentation
• Process deposits, payments, and account transactions
• Prepare and reconcile reports, billing, invoices, and financial records
• Assist with tax filings, account reconciliations, and monthly reporting
• Support general office operations, including reception and administrative tasks

What You Will Need to Be Successful:

• High school diploma or equivalent
• Customer service experience (required)
• Background in medical insurance, claims processing, benefits administration, or related fields (preferred)
• Understanding of health insurance plans and coverage concepts (preferred)
• Accounting experience is a plus
• Outstanding level of accuracy and attention to detail
• Proficiency with Microsoft Outlook, Word, and Excel
• Stellar communication, organizational, and time management skills
• Ability to work independently and collaboratively within a team environment
• Proficiency with use of standard office equipment and technology

Benefits Overview:

• Health, dental, and vision insurance
• 401k
• PTO

Interested and qualified candidates can contact Joye Moore at (319) 449-1200 or email jmoore@thepalmergroup.com.