Scope and Purpose:

ManhattanLife is seeking entry-level to experienced Claims Examiners for our Disability Department. Claims Examiners support our organization’s Claims team by evaluating medical claim submissions and processing them in our systems. We are looking for professionals who are detail-oriented, have a solid understanding of insurance claims, and can work both independently and as part of a team.

Duties and Responsibilities:

• Evaluate claims based on documentation received and provide timely follow-ups for claims being adjudicated.
• Process claims in accordance with company policies, contract provisions, and applicable laws.
• Process claims in our operating system.
• Communicate via written correspondence, email, or phone.
• Perform other duties as assigned.

Minimum Qualifications:

• High school graduate or equivalent (GED).
• Prior work experience in a corporate insurance or financial office is preferred.

Preferred Experience & Skills:

• 1–3 years of claims experience preferred.
• Solid knowledge of ICD-9, ICD-10, or medical coding.
• Background in insurance claims, preferably in supplemental health.
• Ability to read and understand policy language.
• Understanding of basic medical terminology.
• Ability to prioritize and manage workload to meet deadlines.
• Ability to work independently and as part of a team.

Travel Requirements:

This position does not require travel.

Professional Development:

• Establish annual objectives for professional growth.
• Keep pace with developments in the discipline.
• Learn and apply technologies that support professional and personal growth.
• Participate in the evaluation process.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling or moving items weighing upwards of 10 pounds as it relates to office or desk supplies.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time without notice.

AAP/EEO Statement:

ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.