*Claims Experience Required*
When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.
Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment.
We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.
Check out how we make a meaningful difference in the lives of others!
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What We Offer You:
- A culture that values employees and celebrates, empowers, and inspires a diverse workforce
- Outstanding and affordable benefits package
- Yearly bonus potential and annual increases
- PTO provided at date of hire
- 11 paid holidays
- 401(k) with up to 6% match; fully vested from day 1
- Remote opportunities with company-provided equipment
- Team-oriented, collaborative group of peers
- Career advancement opportunities
- Tuition Reimbursement
- Employee Assistance Program
- Inclusion Council and Employee Resource Groups
- Recharge Days and Volunteer Time Off
- This is a remote position.
The base salary range for a Claims Examiner I is $39,000 to $53,000. The base salary range for a Claims Examiner II is $44,000 to $60,000. The base salary range for a Sr. Claims Examiner is $49,000 to $67,000 Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and company tenure and equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.
This is a multi level position with increasing levels of responsibility with each position.
A Claims Examiner I will:
- Perform diverse duties relating to the processing, review and adjudication of claims; including reviewing for accuracy, file and claim completeness, reviewing coverage and approving payment or denial.
- Work in a training and learning capacity in conjunction with a more senior Claims Examiner.
- Communicate with claimants, beneficiaries, and other stakeholders
- Utilize multiple systems to review adjudicate and pay benefits in accordance with our policy.
Essential Duties:
- Review claim information for accuracy, completeness, and coverage in force.
- Communicate with claimants, beneficiaries, and other stakeholders.
- Compose and prepare correspondence to insureds, groups, beneficiaries, and physicians.
- Maintain accurate records and documentation
- Verify policy details, medical records, and other relevant information
- Adhere to department metrics or success
- May perform other duties as assigned.
Required Knowledge, Skills, and Abilities:
- 1-2 years’ experience working Life Claims or equivalent professional experience.
- General medical terminology
- Proficient in MS Office
- Excellent verbal and written communication skills including professional telephone skills and the ability to compose professional correspondence
- Attention to detail and ability to maintain a low error rate.
- Organization skills
- Ability to prioritize tasks, critical thinking, multi-task, and handle deadlines.
Required Education and Experience:
- Associate degree or equivalent professional experience
- 1 to 3 years customer service experience
Preferred Education and Experience:
- Bachelor's Degree
- LOMA courses 280/281 and 290/291
- Medical coding experience
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A Claims Examiner II Required Knowledge, Skills, and Abilities:
- 2-3 years’ experience working Life Claims or equivalent professional experience.
- General medical terminology
- Proficient in MS Office
- Excellent verbal and written communication skills and ability to compose professional
correspondence
- Demonstrated leadership skills and the ability to assist and guide others.
- Attention to detail and ability to maintain a low error rate
- Organization skills
- Ability to prioritize tasks, critical thinking, multi-task, and handle deadlines.
Claims Examiner II Required Education and Experience:
- Associate degree or Equivalent professional experience
- 1 to 3 years customer service experience
- 1 to 3 years as a Claims Examiner
Claims Examiner II Preferred Education and Experience:
- Bachelor's Degree
- LOMA courses 280/281 and 290/291
- Medical coding experience
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A Claims Examiner Sr. Required Knowledge, Skills, and Abilities:
- 3+ years’ experience working Life Claims or equivalent professional experience.
- General medical terminology
- Proficient in MS Office
- Excellent verbal and written communication skills and ability to compose professional
correspondence
- Demonstrated leadership skills and the ability to assist and guide others.
- Attention to detail and ability to maintain a low error rate
- Organization skills
- Ability to prioritize tasks, critical thinking, multi-task and handle deadlines.
A Claims Examiner Sr. Required Education and Experience:
- Associates Degree or equivalent professional experience;
- 3+ years claims experience.
A Claims Examiner Sr. Preferred Education and Experience:
- Bachelor's Degree in a business-related field.
- LOMA courses 280/281 and 290/291.
- 3 or more years of insurance industry experience
- Medical coding experience