Life Claims Assistant - Onsite (Fremont, MI)

Western & Southern Financial Group • Fremont, MI

4d • Onsite

About The Position

The Life Claims Assistant evaluates Gerber Life Insurance claim information and determines appropriate actions to assess, clarify, and appraise claims in compliance with policy provisions, claim procedures, legal requirements, and professional ethics. The role reviews, investigates, and authorizes life insurance claim payments within established authority guidelines and may communicate with policyholders, beneficiaries, hospitals, doctors, attorneys, and internal and external partners to resolve claim matters.

The position also provides technical and professional advice to team members, identifies trends and opportunities for efficiency or improvement, and offers guidance on general claim policy and specific issues involving claim validity and interpretation of policy contracts and terminology. The role works in an office setting in Fremont, Michigan. Extended hours may be required during peak workloads or special projects or events; travel is not required.

Requirements

• High school diploma required.
• At least 2 years of relevant claims-processing experience required.
• Advanced understanding of medical conditions and terminology.
• Ability to deal effectively with external customers, including using patience, tact, and diplomacy to address emotionally charged issues.
• Effective verbal and written communication skills, including preparing formal and informal correspondence.
• Good judgment and the ability to investigate, analyze, and summarize detailed information accurately.
• Organizational skills and the ability to prioritize and multitask.
• Understanding of compliance with life insurance.
• Knowledge of life and health claims.
• Problem-solving skills.
• High level of candor, trust, and integrity.
• Ability to adapt and deliver results in a fast-growing, fast-paced environment.
• Advanced PC skills and solid knowledge of standard office software.
• May be required to complete training or educational courses toward designations such as ALHC/FLHC and ACS; listed as required upon hire.

Responsibilities

• Review, analyze, and investigate life insurance claims and authorize payment within authority guidelines.
• Evaluate claim information and decide appropriate actions to assess, clarify, and appraise claims in accordance with policy provisions, claim procedures, legal requirements, and professional ethics.
• Communicate with policyholders, beneficiaries, hospitals, doctors, attorneys, and internal and external areas to resolve claim matters.
• Provide technical and professional advice to team members to help meet department objectives.
• Identify trends and opportunities for efficiency and improvement.
• Provide guidance on general claim policy and specific claim problems, including claim validity and interpretation of policy contracts and terminology.
• Perform other duties as assigned.
• Comply with all policies and standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED