Accident & Health Claim Examiner

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines. Your Impact: • Analyze and research claim issues of moderate to complex difficulty. • Ability to comprehend complicated workflows, policy certificates and policy provisions. • Review and apply policy provisions in processing of claims received. • Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation. • Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements. • Proper documentation of required information in claim system, including follow up information. • Receive inbound calls within assigned queues and/or as overflow for the CSR team Successful Candidate Will Have: • High School Diploma or equivalent • Ability to function independently within established guidelines • Excellent interpersonal, oral and written communication skills • Intermediate skill level in Microsoft Office programs About One80: One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, One80 Intermediaries was ranked the 14th largest broker in the U.S. by Business Insurance. In 2025, One80 Intermediaries earned the Great Place To Work® Certification™ for the second consecutive year. Pay Range: 15.00 - 18.25 Hourly The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at One80 Intermediaries by visiting our careers page: www.one80.com/careers. Personal information submitted by California applicants in response to a job posting is subject to One80's California Job Applicant Privacy Notice . Apply tot his job