Manage claim intake, review, and communication across both digital and paper channels.
Verify eligibility, analyze coverage details, and adjudicate supplemental insurance claims.
Complete the full payment process, including distribution, authorization, and lost‑check resolution.
Apply claim management strategies to ensure accurate payments and appropriate financial outcomes.
Participate in continuous improvement efforts by identifying issues, sharing customer insights, and supporting workflow enhancements.

Education: High School Diploma or equivalent
Experience: 2+ years of experience in supplemental claims processing
Prior experience with medical billing or CPT coding
Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions
Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint)
Experience collaborating with employers, brokers, TPAs, and other external partners
Familiarity with continuous improvement practices or customer‑experience‑focused workflows

A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
An annual incentive bonus plan
Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenure
A supportive, responsive management approach and opportunities for career growth and advancement
Paid parental leave and adoption/surrogacy assistance
An employee giving program that double matches your donations to eligible nonprofits and schools

Claims Examiner

Key skills