Claims Examiner 3

Primerica

1d•$60,000•Remote

About The Position

The Life Claims Examiner III is responsible for reviewing and adjudicating complex, large dollar contestable and incontestable claims. This includes deaths in a foreign country and Terminal Illness Accelerated death claims. The person in this position will be responsible for communicating delicate information to beneficiaries, agents and attorneys in a professional manner; both written and verbally, in order to bring claims to their completion. The Examiner III will work with Underwriting and outside Vendors to obtain the necessary requirements and input necessary to adjudicate a contestable claim.

Requirements

6-10 Years’ experience in Life Insurance Claims
High School or College degree
Strong Critical thinking skills
Strong Research and organizational skills
Strong verbal and written communication skills
Strong Computer skills
Ability to prioritize workload

Nice To Haves

LOMA or ICA designation a plus

Responsibilities

Review Policy information to determine coverage eligibility and proper beneficiary
Conduct timely investigations consisting of obtaining Beneficiary and Agent statements, medical records, prescription records, criminal records and motor vehicle records
Review any statutory requirements regarding fair claim practices, investigation timeframes, divorce revocation, estate requirements, minor beneficiary rulings and post-mortem claim interest
Make solid claim recommendations
Proactively contact beneficiaries and agents in order to keep a claim moving without delay
Actively participate in Underwriting and Claim Collaboration calls
Document timeline, facts and recommendations
Handle high volume caseload with competing priorities