Supplemental Claims Examiner

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.

About the role

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.

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 and authorization.
• 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.

Requirements

• High School Diploma or equivalent.
• 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

• Adaptability: Sees possibilities in changing circumstances, accepts and understands change, and alters behavior as necessary.
• Improvement Mindset: Continually seeks new ways to create business/customer value by identifying and implementing opportunities for improved efficiency, effectiveness, and innovation.
• Driving Success: Acts with urgency, pursues ambitious goals, and shows resilience in the face of obstacles and setbacks.

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.

Pay

Salary Range: $21.63 - $29.45 per hour. The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.