Remote Claims Examiner – Impactful Insurance Role

300 American Income Life Insurance Company; Texas; Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Paid holidays

Education reimbursement

Job summary

American Income Life Insurance Company is seeking a Claims Examiner to join our team in a remote/work-from-home role. You will evaluate claims for eligibility, investigate, calculate benefits, and process claims according to policy contracts and company procedures.

You will serve as a primary contact for policyholders, agents, and medical providers, using your 50 wpm typing, medical terminology knowledge, and MS Office skills to ensure accurate, timely processing in a fast-paced environment.

Qualifications

• Bachelor's degree or 1–2 years of related experience.
• Six months' experience in a Claims Department Data Entry & Mail Distribution Representative (LG4) or four years in a non-entry level role.
• Minimum typing speed of 50 wpm.
• Knowledge of medical coding and terminology; 98%+ on Medical Terminology exam.
• Advanced proficiency in Outlook, Excel, Word.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication.
• Ability to thrive in a fast-paced environment with limited supervision.
• Knowledge of the insurance industry and claims handling preferred.

Responsibilities

• Evaluate claims to determine eligibility for benefits per policy contracts.
• Process claims according to procedures and perform necessary accounting entries.
• Exercise independent action and judgment in claims decisions.
• Communicate with policyholders, representatives, claimants, agents, and medical providers via phone, email, and written correspondence.
• Perform duties with a high degree of accuracy.
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Skills

Typing 50 wpm

Medical terminology

MS Office proficiency

Communication skills

Attention to detail

Independent work

Insurance industry knowledge

Education

Bachelor's degree or equivalent experience

High school diploma or equivalent

Tools

Medical coding systems

Data entry systems

Job description

American Income Life Insurance Company is seeking a Claims Examiner to join our team in a remote/work-from-home role. You will evaluate claims for eligibility, investigate, calculate benefits, and process claims according to policy contracts and company procedures.

You will serve as a primary contact for policyholders, agents, and medical providers, using your 50 wpm typing, medical terminology knowledge, and MS Office skills to ensure accurate, timely processing in a fast-paced environment.