TDI Claims Examiner I

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 TDI Claims Examiner I is $37,200.00 to $49,000.00.   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. This includes reviewing for accuracy, filing 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.

 Essential Duties:

• Review claims information for accuracy, completeness, and coverage
• Contacts claimants, group policyholders and/or medical providers for additional information
• Composes and prepares correspondence to insureds, groups, physicians, and the Department of Labor
• Provides complete and thorough file documentation including detailed explanations, recommendations, and documentation of actions taken
• Analyzes data and adjudicates claims in accordance with DOL Statute
• Maintains workload inventory on a daily basis
• Performs other related duties and responsibilities as assigned

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:

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

Preferred Education and Experience:

• Associate degree
• 3 years of related experience

Salary : $37,200 - $49,000