Claims Examiner / Customer Benefits Payment Representative

Job Duties

Beacon Hill was founded to set a new standard in search, career placement and flexible staffing.

Claims Examiner / Customer Benefits Payment Representative

Location: St. Paul, MN

Work Arrangement: Hybrid - 1 mandatory day onsite in St. Paul, 4 days remote

Schedule: Monday-Friday | 8:00 AM-4:45 PM | 45-minute unpaid lunch

Employment Type: Contract

Compensation: $28-$32/hour, depending on experience

Position Overview

Beacon Hill's client is seeking a detail-oriented Claims Examiner / Customer Benefits Payment Representative to support the accurate and timely review, processing, and payment of customer benefit claims. This position is ideal for someone with claims adjudication experience who combines strong analytical skills with a customer-focused mindset.

The role will focus heavily on reviewing claim files for accuracy and completeness, identifying potential errors or process gaps, completing corrective actions, and ensuring claims are handled consistently with applicable policy provisions and service expectations.

Responsibilities

Perform quality reviews and audits of Accident, Critical Illness, and Hospital Indemnity claims to confirm accurate processing and consistent application of policy provisions.

Examine claim files to ensure required documentation has been collected, eligibility criteria have been satisfied, appropriate benefits have been identified, and payments have been processed correctly.

Recognize claim-processing errors, recurring trends, workflow gaps, and opportunities to strengthen operational processes.

Clearly document audit results and communicate findings, recommendations, and necessary corrective measures to appropriate partners.

Make corrections to claim files when needed, including gathering additional information, revising claim determinations, issuing benefits, and resolving payment discrepancies.

Support timely and accurate benefit payments through claim processing, data entry, record maintenance, fraud prevention, and eligibility or loss investigations.

Provide professional, customer-focused communication to internal teams, clients, customers, and external partners.

Maintain complete and accurate claim documentation to support quality standards, regulatory requirements, customer service, and potential litigation needs.

Apply sound judgment and risk assessment when reviewing claims and determining appropriate next steps.

Use available resources and strong problem-solving skills to investigate claims and reach well-supported conclusions.

Review files for completeness and verify that all required information and supporting documentation are accurate.

Contribute to special projects, process enhancements, quality initiatives, and other operational improvement efforts.

Effectively manage an assigned workload while meeting established service levels and turnaround expectations.

Assist with incoming department calls and respond to questions regarding claim status, policy provisions, and benefit determinations.

Qualifications

Previous knowledge of or experience with Employee Benefit Solutions claims processing and claim adjudication practices.

Excellent attention to detail with the ability to identify discrepancies, errors, and areas for improvement.

Strong analytical, critical-thinking, and problem-solving abilities.

Sound judgment and confidence making decisions based on available claim information.

Strong written and verbal communication skills.

Effective organizational and workload-management abilities.

Positive, compassionate, and customer-focused approach.

Ability to successfully meet expectations while working independently as well as collaboratively within a team.

Comfortable learning and adapting to new technologies, systems, and changing processes.

Strong commitment to providing a high-quality customer experience.Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.

Company Profile:

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com .

Benefits Information:

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.

We look forward to working with you!

Beacon Hill. Employing the Future (TM)

Apply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk5Mzk4LjEzNzk4QGJlYWNvbmhpbGxjb21wLmFwbGl0cmFrLmNvbQ

Minimum Education Required

Not Specified

Minimum Experience Required

Not Specified

Shift

First (Day)

Number of Openings

1

Compensation

$28.00 - $32.00 / Hourly

Postal Code

55155

Job Type

Full Time

Place of Work

On-site

Requisition ID

92851

Job Benefits

See job description