Supplemental Claims Examiner
About The Position
The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end‑to-end while delivering responsive, compassionate service to claimants, policyholders, and partners. The role also contributes to continuous improvement by bringing forward customer insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience.
Requirements
- 2+ years of experience in claims processing; supplemental insurance claims experience preferred.
- Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions.
- Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint).
- High School Diploma or equivalent.
Nice To Haves
- Prior experience with medical billing or CPT coding.
- Experience collaborating with employers, brokers, TPAs, and other external partners.
- Familiarity with continuous improvement practices or customer‑experience‑focused workflows.
Responsibilities
- 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.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
