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 position is accountable for successfully adjudicating and processing claims related to supplemental insurance products. Focused on securing and analyzing information for supplemental insurance claims and completing the claim from intake, verification, adjudicating and payment.
Requirements
- High School Diploma required, bachelor’s degree in business or related field preferred.
- 1+ years of experience in claims submission, communication, eligibility verification, or processing
- Experience with supplemental insurance claims preferred
- Basic proficiency in Microsoft Office (Word, Outlook, Teams)
- Familiarity with claims management strategies and customer service preferred
- Ability to handle complex claim issues and contribute to process improvements preferred
- Improvement Mindset: Continually seeks new ways to apply digital and non-digital solutions to drive innovation, efficiency, effectiveness and transformation to create business/customer value.
- Adaptability: Recognizes and is open to changing circumstances and alters behavior as necessary.
- Driving Success: Takes action, initiates activity, pursues ambitious goals with persistence and shows resilience in the face of obstacles and setbacks.
Responsibilities
- Review, adjudicate, and approve claims and payments accurately and timely, ensuring compliance with policies, coverage provisions, and service standards.
- Perform end‑to‑end claims intake and validation, including eligibility verification, documentation review, discrepancy resolution, and benefit calculation.
- Execute and manage the full payment lifecycle, including authorizations, EOB verification, distribution, and resolution of payment issues.
- Communicate effectively with claimants, policyholders, employers, brokers, and internal partners to provide status updates, resolve issues, and deliver responsive customer service.
- Maintain accurate claim and financial records while driving continuous improvement through process analysis, workflow enhancements, and cross‑functional collaboration.
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
- In addition to the competitive salary range below, our employee-focused benefits support work-life balance.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
