Supplemental Claims Examiner – American Heritage

Supplemental Claims Examiner – American Heritage

Requirements

• 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
• Remote work flexibility
• Ability to manage multiple priorities and deadlines effectively

Responsibilities

• 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%)

Preferred Qualifications

• 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