Supplemental Claims Examiner - Remote

Overview

The Supplemental Claims Examiner is responsible for adjudicating and processing claims related to supplemental insurance products, ensuring compliance with policies while providing excellent customer service.

In Short

• Review and approve claims and payments accurately and timely.
• Perform claims intake and validation including eligibility verification.
• Manage the full payment lifecycle from authorizations to resolution.
• Communicate effectively with claimants and internal partners.
• Maintain accurate claim and financial records.
• Drive continuous improvement through process analysis.
• Collaborate cross-functionally to enhance workflows.
• Adapt to changing circumstances and requirements.
• Contribute to process improvements and handle complex claims.
• Support a customer-first commitment in all interactions.

Requirements

• High School Diploma required; bachelor’s degree preferred.
• 1+ years of experience in claims submission or processing.
• Experience with supplemental insurance claims preferred.
• Basic proficiency in Microsoft Office (Word, Outlook, Teams).
• Familiarity with claims management and customer service.
• Ability to handle complex claim issues.
• Improvement mindset and adaptability.
• Strong communication skills.
• Resilience in pursuing goals amidst challenges.
• Commitment to operational excellence.

Benefits

• Rich benefits package including medical, dental, and vision.
• 401(k) plan with matching contributions.
• Annual incentive bonus plan.
• Generous paid time off and wellness days.
• Opportunities for career growth and advancement.
• Paid parental leave and adoption assistance.
• Employee giving program with matching donations.
• Supportive management approach.
• Competitive salary based on experience and skills.
• Work-life balance support through employee-focused benefits.