This position reports to the Supervisor of Claims, and performs in-depth audits to ensure existing health (medical/dental/vision) benefit plans of Western Growers Assurance Trust and Pinnacle Claims Management, Inc. clients are in compliance with the respective employers’ summary plan descriptions. In addition, this position will assist with claims training, review of error logs, and support to the examiners and audit staff.
Claims Department Support
Pinnacle Risk Management Services - Claims – PM6000
The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, walk and sit. The employee is frequently required to use hands to finger, handle, or feel objects, tools, or controls and reach with hands and arms. The noise level in the work environment is usually moderate.