Claims Specialist 1
Wellabe is seeking a Claims Specialist 1 role to join our team starting January 5, 2026. The Claims Specialist 1 is responsible for processing, reviewing, and adjusting routine life or health claims.
Essential functions :
- Review, analyze and process claims, adjustments, coordination of benefits and refunds on routine life or health claims including accurate entry of codes and data to applicable system. Work may be reviewed for accuracy and more complex claims referred to a more experienced specialist.
- Life - responsible for final expense or preneed products.
- Health - responsible for Medicare Supplement, Dental or Hospital Indemnity or other related products.
- Respond to general inquiries by agents, policyholders, and providers concerning policy coverage and other related information by phone, email, letter or other communication channels.
- Health - Cross train on one or more other products and / or back up medical records, transmittal, provider files or other related duties.
Success Profile :
General knowledge of the principles, processes, and practices related to claims processing including local, state, and government insurance-related policies.Strong verbal and written communication skills.Intermediate computer skills with basic knowledge of MS Office Suite (Excel, Word, and PowerPoint).Ability to meet or exceed all procedural, financial and quality metrics including production standards, adjudications, quality, state and federal compliance regulations, etc.Acts in accordance with all HIPAA Privacy and Security guidelines to ensure confidential handling of protected health information.Qualifications :
High school diploma or GED equivalent.Previous related experience, a plus.Benefits :
Hybrid availability401(k) with generous, full vested company matchHealth insurancePaid time off, holidaysVolunteer time offLifestyle Spending Account (LSA)Paternal leaveLegal insuranceEAPTravel accident insuranceGrowth opportunities :
LinkedIn Learning Premium accessCliftonStrengths assessment and coachingOn-site and virtual workshops and cohorts featuring world-class content from FranklinCovey, Crucial Learning, Gallup, and moreFree world-class insurance acumen courses through AHIP and LOMAReimbursement and bonus opportunities for professional designations and certifications, including a tuition reimbursement programOpportunities to take part in Wellabe's mentorship programsAbout Wellabe :
Since 1929, Wellabe has been finding solutions to help our customers protect their health and financial well-being. And we're committed to fostering an internal culture of inclusivity, well-being, and development so each of our team members can succeed. Learn more about Wellabe's culture of betterment.
Wellabe is full of smart, caring, hard-working people with a broad range of talents who understand collaboration is key. We bring our best selves every day, to connect with others to solve problems, spark innovation, and bring ideas to life. Meet the team and learn what makes Wellabe a great place to work.
Our core values :
Be dedicated : Show unwavering commitment by proactively taking initiative, setting clear goals, and managing time effectively.Be trustworthy : Take accountability for actions, navigate difficult conversations with integrity, and build strong relationships through consistent, honest behavior.Be determined : Demonstrate enthusiasm and a relentless drive to overcome obstacles and achieve goals.Be collaborative : Foster teamwork by being self-aware, actively listening, and effectively communicating across all levels.Be open : Embrace diversity and new ideas to create an inclusive environment.Be generous : Embody generosity and compassion by serving a greater purpose and helping others.Be better : Commit to continuous improvement and adapt effectively to change.Be well : Prioritize physical and mental health, manage stress, and demonstrate emotional intelligence.Be well thrive in an environment that fosters inclusivity, well-being, and development.
