Supplemental Claims Examiner - American Heritage

At The Standard, you’ll join a team focused on putting our customers first.
Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.
We offer a caring culture where you can make a real difference, every day.
 
Ready to reach your highest potential? Let’s work together.

The Standard has completed the acquisition of the Employer[AM1] Voluntary Benefits business from Allstate. This deal enhances our competitive position in the market with a comprehensive offering of workplace benefits products and capabilities.

Job Summary

In this role, you will be responsible for managing and processing supplemental insurance claims. This includes handling claims from intake through payment, ensuring accuracy and timeliness in adjudication. You will provide exceptional customer service, resolve issues, and maintain effective relationships with claimants and stakeholders. Your duties also involve verifying eligibility, calculating payments, and contributing to continuous improvement initiatives to enhance the customer experience and operational efficiency.

• Manage and process supplemental insurance claims from intake to payment (40%)
• Verify eligibility and adjudicate claims, including calculations and documentation (30%)
• Handle claim payments and manage issues related to misplaced or lost checks (10%)
• Identify, investigate and report potential misrepresentation of claims (10%)
• Drive continuous improvement and collaborate on workflow enhancements (10%)
• Ability to work effectively in a fast-paced, remote environment is a requirement of the role. *

Skills and Background You’ll Need

• Must-Haves:
  • High School Diploma/GED
  • 1+ years of experience in claims submission, communication, eligibility verification, or processing
  • Basic proficiency in Microsoft Office (Word, Outlook, Teams)
  • Strong written and verbal communication skills and attention to detail
• Preferred:
  • Associate’s degree or higher
  • Experience with supplemental insurance claims
  • Familiarity with claims management strategies and customer service
  • Ability to handle complex claim issues and contribute to process improvements
• Additional Requirements:
  • Remote work flexibility
  • Ability to manage multiple priorities and deadlines effectively

Key Behaviors of a Successful Candidate

• Strong problem-solving and analytical skills
• Excellent communication and interpersonal abilities
• High attention to detail and accuracy
• Adaptability and proactive approach to continuous improvement
• Effective collaboration and teamwork

Why Join The Standard?

We offer a supportive and dynamic work environment where you can grow and make a meaningful impact. When you join The Standard, you can expect:

• A comprehensive benefits package, including a 401(k) plan with matching contributions
• An annual incentive bonus plan
• Generous paid time off
• A responsive and supportive management team
• Opportunities for career development and advancement
• Paid time off to volunteer
• An employee giving program that double matches your donations to eligible nonprofits and schools
• Much more!

Please note - the salary range for this role is listed below. In addition to salary, our package includes incentive plan participation and comprehensive benefits including medical, dental, vision and retirement benefits, as well as an initial PTO accrual of 164 hours per year. Employees also receive 11 paid holidays and 2 wellness days per year.

• Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.

Salary Range:

20.55 - 28.61

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., 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. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.