Associate - Insurance - Life 5A
About The Position
The Associate - Insurance - Life reviews and assesses employee benefit claims to determine eligibility under policy terms and conditions. The role gathers and evaluates supporting documentation, including medical records and employment history, and communicates with claimants and other stakeholders to support accurate and timely claims processing. It also maintains claim records, prepares reports, protects confidential information, and ensures compliance with relevant regulations, company policies, and legal requirements. This is a remote, regular position with a day job shift in the United States. The approximate annual base compensation range is $31,200 to $39,000. Los Angeles, California-based candidates are not eligible. The actual offer may vary based on factors including experience, knowledge, skills, abilities, geographic location, and internal equity.
Requirements
- Bachelor's degree in Actuarial Science, Economics, Finance, or Risk Management and Insurance, or a master's degree in Statistics.
- Critical thinking skills.
- Fraud management skills.
- Insurance knowledge.
- Life insurance knowledge.
- Quality management skills.
- Advanced English proficiency (C1); English is required.
Nice To Haves
- Associate in Claims (AIC) certification from The Institutes (USA).
- Certified Financial Analyst (CFA) certification from Skillab.
- Certified Fraud Examiner (CFE) certification from ACFE.
- Chartered Property Casualty Underwriter (CPCU) certification from the Insurance Institute of America (IIA).
- Fellow of the Institute of Actuaries (FIA) certification from the Institute and Faculty of Actuaries (UK).
Responsibilities
- Review and assess employee benefit claims to determine eligibility based on policy terms and conditions.
- Gather documentation from claimants, medical professionals, and other sources to support quantitative claim evaluation.
- Analyze medical records, employment history, and other relevant information to inform decisions.
- Communicate claim status updates to claimants and request additional information when needed.
- Collaborate with healthcare providers, employers, and other stakeholders to process claims accurately and on time.
- Maintain clear and professional communication with all parties involved in the claims process.
- Accurately record and store claim-related documents in workflow systems.
- Prepare detailed claim reports and summaries for internal review and decision-making.
- Maintain confidentiality and follow data protection regulations when handling sensitive information.
- Ensure compliance with industry regulations, company policies, and legal requirements throughout the claims process.
- Conduct regular audits of claims files for accuracy, completeness, and adherence to standards.
- Participate in training to stay current on changes to policies, procedures, and regulations.
Benefits
- Hands-on experience, mentorship, and learning opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
