Accident & Health Claim Examiner

TL;DR

Accident & Health Claim Examiner (Insurance): Reviewing and analyzing insurance claims to ensure accurate processing in accordance with policy provisions with an accent on complex claim issues and documentation management. Focus on maintaining high standards of accuracy in benefit payments and providing professional support through inbound communication channels.

Location: Remote (US only)

Salary: $15.00–$18.00 per hour

Company

hirify.global is a global insurance distribution platform specializing in wholesale brokerage, program administration, and specialty insurance solutions.

What you will do

• Analyze and research moderate to complex claim issues.
• Review and apply policy provisions to determine claim approval or denial.
• Request and obtain necessary documentation for claim consideration.
• Release accurate benefit payments in accordance with industry standards and SLA agreements.
• Maintain accurate records of claim information in the system.
• Handle inbound calls from customers and internal teams.

Requirements

• Must be based in the United States
• High School Diploma or equivalent.
• Ability to function independently within established guidelines.
• Excellent interpersonal, oral, and written communication skills.
• Intermediate proficiency in Microsoft Office programs.

Culture & Benefits

• Opportunity to work with a large-scale, innovative insurance platform.
• Collaborative environment combining entrepreneurial culture with operational excellence.
• Equal opportunity workplace committed to diversity and inclusion.