Claims Examiner
About The Position
Resolution Life is seeking a Claims Examiner to examine and investigate disability, life, and annuity claims within a defined approval authority. The role helps ensure customers and beneficiaries receive accurate, timely, and compassionate service. Claims may include contestable death, accelerated death benefit, waiver of premium, unclaimed property, and critical illness claims. The examiner also researches and advises on matters such as beneficiary designations, absolute assignments, estate documents, guardianship of minors, small estate affidavits, and divorce statutes. The role involves setting up and monitoring claims, analyzing coverage, communicating with internal and external customers, maintaining accurate claims records, and supporting stakeholders with information and training. The examiner works collaboratively to solve problems and may assign less-complex claims to entry-level or trainee examiners. The position is remote and requires prolonged periods of sitting at a desk and working on a computer.
Requirements
- High school diploma or equivalent.
- Excellent verbal and written communication skills, including the ability to explain contract language and claims procedures to agents and beneficiaries.
- Effective customer service skills.
- Proven analytical and problem-solving skills with strong attention to detail.
- Ability to multitask and prioritize workload in a workflow environment.
- Proficiency with the Microsoft Office Suite.
Responsibilities
- Set up new claims and prepare clear correspondence.
- Examine and investigate disability, life, and annuity claims, including coverage analysis.
- Write professional correspondence to internal and external customers.
- Monitor claims through the workflow system to keep them moving.
- Maintain accurate claims records, files, and databases.
- Provide stakeholders with information and training about claims.
- Assign less-complex claims to entry-level or trainee examiners, as appropriate.
- Build and maintain excellent working relationships and solve problems as part of a collaborative team.
- Take on other projects and duties as needed.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Health and wellness program.
- Incentive and recognition programs.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
