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Supplemental Claims Examiner

The Standard

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. Key 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. Skills and Background You’ll Need 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. Key Behaviors of a Successful Candidate Adaptability: Adjusts quickly to changing priorities and embraces new ways of working. Improvement Mindset: Seeks opportunities to streamline processes and enhance the customer experience. Driving Success: Takes initiative, pursues goals with persistence, and remains resilient when challenges arise. Why Join The Standard? To ensure we can attract and retain the best talent, when you join The Standard you can expect: 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. Additional Information Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance. Compensation Salary Range: 21.63 - 29.45 Equal Employment Opportunity Statement Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are affirmative action/equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable. #J-18808-Ljbffr

Vacancy posted 1 day ago
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