Physicians Mutual is actively hiring Medicare Supplement Claims Examiners to join our growing Claims team! In this role, you will evaluate and process insurance claims by analyzing policy provisions, medical information, and supporting documentation to determine accurate payment or denial decisions. You will also communicate with policyholders, providers, and internal teams to ensure timely, professional service throughout the claims process. 

This is a fantastic opportunity to launch or grow your career in the health insurance industry with a company known for stability and integrity.

• Review, analyze, and process claims in accordance with policy provisions, company guidelines, and state regulations
• Investigate claims by gathering and evaluating information from policyholders, providers, and internal systems
• Determine appropriate claim outcomes, including payment, denial, or further investigation
• Calculate benefits and ensure accurate and timely claim payments
• Verify claim information against policy records, prior claims, and supporting documentation
• Communicate claim decisions clearly and professionally to customers and other stakeholders
• Maintain accurate documentation and update claim records in system applications
• Stay current on policy updates, medical terminology, and regulatory requirements
• Manage workload effectively to meet productivity and quality standards

Required:

• High school diploma or equivalent.
• Strong written and verbal communication skills.
• Computer proficiency and comfort using internal claims processing systems.
• Ability to work efficiently in a fast-paced, metrics-driven setting.
• Problem-solving mindset and a keen eye for detail.
• Basic math skills for benefit and interest calculations.

Preferred:

• 1–2 years of experience in health insurance claims or a related field.
• Knowledge of Medicare Supplement insurance.

Health. Life. Retirement. The Physicians Mutual family empowers people from all walks of life to enjoy the financial security they deserve. That’s what Insurance for all of us® is about.

The Physicians Mutual family includes Physicians Mutual Insurance Company, Physicians Life Insurance Company and Physicians Select Insurance Company. Physicians Mutual offers reliable dental and supplemental health insurance, and pet insurance. Physicians Life provides important life insurance, Medicare Supplement insurance and coverage for funeral pre-planning. Physicians Select Insurance Company additionally offers exclusive Medicare Supplement insurance.

Since our start in 1902, our dedication to delivering on our promise has helped make us one of the nation’s leading health and life insurance providers. In fact, we are rated in the top 1% of insurance companies. We consistently maintain some of the highest financial strength ratings in the nation from independent insurance analysts, including A.M. Best Company and Weiss Ratings, ensuring we’ll be there for our policyowners and our employees far into the future.

But the achievement we’re most proud of? We have a 95% customer satisfaction rating — a true sign of a company dedicated to embodying its vision.