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- Tasks: Process and manage claims with precision while providing top-notch customer service.
- Company: FedPoint creates digital benefits marketplaces for federal and military customers, part of John Hancock.
- Benefits: Enjoy hybrid work, generous PTO, 401k match, and tuition reimbursement.
- Why this job: Join a dynamic team where your skills make a real impact in healthcare and insurance.
- Qualifications: High school diploma required; experience in claims processing or insurance operations is essential.
- Other info: Flexible schedules available post-training; annual bonus based on performance.
Our goal at FedPoint is to foster an engaging environment for our employees that promotes career growth and supports a work-life balance. From professional development to wellness programs to volunteer opportunities, we have created a culture that puts our employees on a positive pathway to success.
About FedPoint
FedPoint creates and operates digital benefits marketplaces that make it easy forour millions of federal and military customersto understand, select, and use their benefits.A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH.
Our mission
Create and deliver world-class benefits experiences for our customers, clients, and business partners.
Are you passionate about making a difference in healthcare and insurance? Do you thrive in a fast-paced environment where your attention to detail and problem-solving skills are key? If so, we want to hear from you!
FedPoint, a leading third-party insurance administrator, is seeking to hire Claims Processors. You’ll be at the heart of ensuring that submitted invoices are processed accurately and efficiently. Your mission will be to review, adjudicate, and manage claims with precision, while providing exceptional customer service. You’ll work closely with our Care Coordination department to manage annual claims payments, ensuring everything is handled with the utmost accuracy and integrity.
Key Responsibilities:
?? Claim Analysis & Adjudication (80%):
- Scrutinize invoices to ensure they are complete and accurate.
- Collaborate with claimants, providers, and internal teams to resolve issues and make decisions based on established policies.
- Enter data meticulously into our claims processing systems.
?? Communication & Correspondence (10%):
- Engage with internal teams and providers to clarify and resolve claim issues.
- Draft clear and professional communications to claimants.
- Assist in addressing customer complaints with empathy and efficiency.
- Identify and investigate potential fraud or abuse.
- Report and track red flags to ensure compliance and proper adjudication.
What We’re Looking For:
- High School education required.
- Experience processing claims in a healthcare, disability, dental, or long term care environment required OR insurance operations experience, REQUIRED
- Demonstrated computer proficiency which includes strong keyboard and navigation skills.
- Successful completion of new hire training and demonstrated proficiency required
- Required to uphold the principles of compliance and fraud management as outlined by corporate and departmental policies. Supports and participates in the mandatory training on an annual or more frequent basis, as required.
?? Location: Portsmouth, NH – HYBRID 2 days in office
?? Full-Time Position 40 hours/week
Training hours 9-5pm flexible schedules may be selected after training is completed.
Compensation: The typical starting salary would be between $19-23/hr, based on qualifications and experience as it relates to our requirements. This position is eligible for an annual discretionary employee bonus plan based on company metric performance as well as a full suite of benefits, listed below.
About FedPoint
FedPoint creates and operates digital benefits marketplaces that make it easy for our millions of federal and military customers to understand, select, and use their benefits. A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH. To learn more, visit fedpointusa.com .
Why Join Us?
At FedPoint, our mission is to create and deliver world-class benefits experiences for our customers, clients, and business partners.
We offer a dynamic work environment where innovation and collaboration are encouraged. You\’ll have the opportunity to make a significant impact while honing your skills and advancing your career.
In addition to working for a company with great people and an excellent reputation, what’s in it for you?
- Generous 401k plan: 100% match of employee\’s contribution, up to a maximum of 6% salary, vests immediately.
- Bonus Opportunity: Qualifying employees can earn up to 7% of their salary, based on company performance. (Inquire about eligibility with our recruiter)
- Lots of paid time off:3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays!
- Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
- 6 weeks fully-paid parental leave
- Tuition reimbursement program to support career goals.
- Corporate giving and matching gifts program.
- Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
- A wide variety of personal, professional, and career development programs.
- Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.
All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check.
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Claims Processor employer: FedPoint
Contact Detail:
FedPoint Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Claims Processor
✨Tip Number 1
Familiarise yourself with the healthcare and insurance industry, especially claims processing. Understanding the common challenges and regulations can help you stand out during interviews.
✨Tip Number 2
Highlight your attention to detail and problem-solving skills in conversations with recruiters. Be ready to share specific examples of how you've successfully managed claims or resolved issues in previous roles.
✨Tip Number 3
Network with current or former employees of FedPoint on platforms like LinkedIn. They can provide insights into the company culture and may even refer you internally, increasing your chances of landing an interview.
✨Tip Number 4
Prepare for potential interview questions by practising responses that demonstrate your experience in claims processing and your ability to work collaboratively with teams. This will show your readiness for the role.
We think you need these skills to ace Claims Processor
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Claims Processor at FedPoint. Highlight your attention to detail and problem-solving skills in your application, as these are key attributes they are looking for.
Tailor Your CV: Customise your CV to reflect relevant experience in claims processing or insurance operations. Use specific examples that demonstrate your ability to analyse claims and communicate effectively with various stakeholders.
Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for making a difference in healthcare and insurance. Mention how your skills align with FedPoint's mission and values, and express your enthusiasm for contributing to their team.
Proofread Your Application: Before submitting, carefully proofread your application materials. Ensure there are no spelling or grammatical errors, as attention to detail is crucial for the role of a Claims Processor.
How to prepare for a job interview at FedPoint
✨Understand the Role
Make sure you thoroughly understand the responsibilities of a Claims Processor. Familiarise yourself with claim analysis, adjudication processes, and the importance of accuracy in data entry. This will help you answer questions confidently and demonstrate your knowledge.
✨Showcase Your Attention to Detail
Since the role requires meticulous attention to detail, prepare examples from your past experiences where you successfully managed complex tasks or resolved issues. Highlight how your careful approach led to positive outcomes.
✨Prepare for Scenario-Based Questions
Expect scenario-based questions that assess your problem-solving skills and ability to handle customer complaints. Think of specific situations where you had to resolve conflicts or clarify issues, and be ready to discuss your thought process.
✨Emphasise Communication Skills
Effective communication is key in this role. Be prepared to discuss how you would engage with claimants and internal teams. Share examples of how you've communicated complex information clearly and professionally in previous roles.
