Wellness Claims Examiner I, II - Remote

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! 

https://player.vimeo.com/video/518665804 

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.

Life Takes You Places!  Are you ready to join us? 

Compensation: The starting base salary range for a Claims Examiner I is $37,200.00 to $49,000.00. The starting base salary range for a Claims Examiner II is $41,000.00 to $54,000.  Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance. 

Claims Examiner I Overview

Performs 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. Works in a learning and mentoring relationship capacity in conjunction with a more senior Claims Examiner until fully competent to independently receive claims documents. Communicates with claimants, group policy holders, medical providers, and internal staff on claims related issues. Updates tracking systems and processing systems as necessary. Performs other duties as assigned. 

Claims Examiner II Overview

Performs 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. Communicates with claimants, group policy holders, medical providers, and internal staff on claims related issues. Updates tracking systems and processing systems as necessary. Provides assistance and feedback to less experienced staff members as assigned. Performs other duties as assigned. 

Claims Examiner I Required Education and Experience

• High school diploma or equivalent
• 2 - 4 years of related experience
• Or, equivalent military experience

Claims Examiner II  Required Education and Experience

• High school diploma or equivalent
• 4 - 6 years of related experience
• Or, equivalent military experience

Sr. Claims Examiner Required Education and Experience

• Associates Degree or equivalent professional experience
• 3+ years claims experience.

Claims Examiner I Preferred Education and Experience

• Associate degree
• 3 years of related experience

Claims Examiner II Preferred Education and Experience

• Associate degree
• 5 years of related experience

Working Conditions (Physical Demands):

• Environment
• Essential physical requirements (such as typing, standing, prolonged sitting)
• Indicate if required to work weekends, nights, or on call as regular part of job
• Travel requirements