Detail‑Oriented Claims Examiner Adjudicator

Securian Financial Group; Saint Paul (MN); Hybrid; USD 26,000 - 45,000; Full time

Benefits offered by this job

Paid time off

Nine company paid holidays

Health insurance

401(k) plan with company contribution

Hybrid work option

Job summary

Securian Financial Group is seeking a Claims Examiner to investigate, evaluate, and adjudicate claims with a focus on accuracy, timeliness, and customer experience. You will gather information from customers, beneficiaries, employers, and providers, and collaborate with legal and medical teams when needed.

The role emphasizes thorough documentation, compliant decisions, and proactive communication to support efficient claim resolution while delivering compassionate service.

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.
• Recognize opportunities where a direct conversation can improve understanding, reduce customer effort, and create a more positive customer experience.
• 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.
• Support workload continuity by assuming responsibility for in-progress claims during team transitions, ensuring uninterrupted service for customers.

Skills

Customer service

Analytical thinking

Attention to detail

Communication

Decision making

Adaptability

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Securian Financial Group is seeking a Claims Examiner to investigate, evaluate, and adjudicate claims with a focus on accuracy, timeliness, and customer experience. You will gather information from customers, beneficiaries, employers, and providers, and collaborate with legal and medical teams when needed.

The role emphasizes thorough documentation, compliant decisions, and proactive communication to support efficient claim resolution while delivering compassionate service.