Claims Examiner: Remote/Hybrid, Impactful Claim Resolution

Securian Financial Group; Minnesota; Hybrid; USD 26,000 - 45,000; Full time

Benefits offered by this job

PTO

Holidays

401(k)

Health insurance

Volunteer time off

ARGs

Job summary

Securian Financial Group in Saint Paul, MN is seeking a Claims Examiner to investigate, evaluate, and adjudicate claims while upholding accuracy, compliance, and superior customer experience. The role emphasizes effective communication and collaboration with customers, beneficiaries, and partners.

The position supports hybrid work arrangements within commuting distance of the St. Paul office, and requires a focus on quality, empathy, and timely claim resolution.

Qualifications

• 2+ years of customer service experience.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and organizational skills.
• Strong written and verbal communication skills.
• Demonstrated ability to make sound decisions and manage multiple priorities.
• Ability to learn and adapt to new and/or changing technologies and processes.
• Commitment to providing a high-quality customer experience.

Responsibilities

• Investigate, evaluate, and adjudicate claims in accordance with policy provisions, regulatory requirements, and company guidelines.
• Analyze claim information to determine coverage eligibility, benefit amounts, beneficiary entitlement, and claim validity.
• Gather and review information from customers, beneficiaries, employers, healthcare providers, funeral homes, and other internal and external partners.
• Communicate claim requirements, status updates, decisions, and next steps in a clear, timely, and professional manner.
• Proactively utilize phone, email, and written correspondence to support customers and facilitate timely claim resolution.
• Maintain thorough claim records that support quality reviews, audits, regulatory requirements, and potential litigation.
• Ensure claim decisions, documentation, and payments are accurate, complete, and compliant.
• Partner with legal, medical, and investigative resources when additional expertise is needed.
• Contribute to process improvements, team initiatives, and special projects as assigned.

Skills

Customer service

Analytical thinking

Attention to detail

Communication

Decision making

Adaptability

Empathy

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Securian Financial Group in Saint Paul, MN is seeking a Claims Examiner to investigate, evaluate, and adjudicate claims while upholding accuracy, compliance, and superior customer experience. The role emphasizes effective communication and collaboration with customers, beneficiaries, and partners.

The position supports hybrid work arrangements within commuting distance of the St. Paul office, and requires a focus on quality, empathy, and timely claim resolution.