16 часов назад
Life Claims Examiner (Life Insurance)
45 000 - 55 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Life Claims Examiner (Life Insurance): Adjudicating individual life insurance claims by reviewing coverage, policy status, proof of loss documents, medical records, and criminal records with an accent on benefit eligibility and regulatory compliance. Focus on investigating high-volume caseloads, recommending payment or denial decisions, and communicating with agents, beneficiaries, and attorneys.
Location: Open to candidates residing anywhere in the United States; must work Eastern Time zone hours
Salary: $45,000–$55,000 annual
Company
is a financial services company recognized as a leading workplace in the United States.
What you will do
- Adjudicate individual life insurance claims and review coverage eligibility and policy status.
- Request proof-of-loss documentation and investigate claim evidence.
- Review and evaluate claim proofs, medical records, and criminal records.
- Determine benefit eligibility and recommend claims for payment or denial.
- Manage a high-volume life claims caseload.
- Communicate with agents, beneficiaries, and attorneys in writing and verbally.
Requirements
- At least four years of experience adjudicating life, health, medical, or disability claims.
- General knowledge of pre-existing conditions, material misrepresentations, and state regulatory compliance.
- Strong judgment, research, organizational, interpersonal, and communication skills.
- Ability to multitask, prioritize, manage high volumes, and work independently and collaboratively.
- Strong PC skills and proficiency with Microsoft Office.
Nice to have
- Experience adjudicating contestable life claims.
Culture & Benefits
- Health, dental, and vision insurance available from day one.
- 401(k) plan with an employer match.
- Vacation, sick, holiday, and volunteer time off.
- Life and disability insurance, Flexible Spending Account, and Health Savings Account.
- Professional development and tuition reimbursement.
- Company-sponsored social and philanthropy events.
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