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.

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

The base salary range for this position is $39,000 to $53,000. Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, and competencies. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.

What We Offer You:

• A culture that values employees and celebrates, empowers, and inspires a diverse workforce
• Outstanding and affordable benefits package including Medical, Dental, Vision, and company HSA contribution
• 401(k) with a 6% match that is fully vested from day one
• PTO provided on date of start plus 11 paid holidays
• Tuition Reimbursement
• Wellness Program
• This is a remote 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 until fully competent to independently receive claims documents.
• Communicate with claimants, group policy holders, medical providers and internal staff on claims related issues.
• Update tracking systems and processing systems as necessary.

Essential Duties:

• Review claim information for accuracy, completeness and coverage in force.
• Contacts claimants, group policyholders or medical providers for additional information.
• Compose and prepare correspondence to insureds, groups, beneficiaries and physicians.
• Provide complete and thorough file documentation including detailed explanations, recommendations, and documentation of actions taken.
• Analyze data and adjudicate claims in accordance with policy provisions.
• Maintain workload inventory on a daily basis.

Required Knowledge, Skills, and Abilities:

• Knowledge of diagnosis and procedure codes and general medical terminology
• Proficient in MS Office
• Excellent verbal and written communication skills including professional telephone skills and the 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.

Required Education and Experience:

• Associates 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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USAble Life employees are required to be fully vaccinated against COVID-19 as a condition of employment unless an employee qualifies for an exception as an accommodation for religious or medical reasons. This requirement applies regardless of work location. The Centers for Disease Control and Prevention (CDC) currently defines people as “fully vaccinated” for COVID-19 two weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or two weeks after they have received a single-dose vaccine (Johnson & Johnson [J&J]/Janssen).