Life Claims Examiner

PrimericaDuluth, GA
$45,000 - $55,000Remote

About The Position

The Life Insurance Examiner adjudicates individual life claims. The Examiner reviews coverage eligibility, policy status, requests necessary proof of loss documents, determines benefit eligibility and recommends claims for payment or denial. This position is open to candidates that reside anywhere in the United States but requires working Eastern time zone hours.

Requirements

  • Minimum 4 years’ experience adjudicating Life, Health, Medical or Disability Claims
  • General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance
  • Excellent interpersonal and team building skills
  • Excellent verbal and written communication skills
  • Excellent judgment, research, and organizational skills
  • Ability to multi-task, prioritize and handle high volumes
  • Excellent PC skills and knowledge and usage of Microsoft Office
  • Detailed-oriented with the ability to work well independently and with others

Nice To Haves

  • Adjudicating contestable life claims is a plus

Responsibilities

  • Reviews coverage eligibility and policy status and requests necessary proof of loss documents
  • Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
  • Determines benefit eligibility and recommends claims for payment or denial
  • Reviews and handles a high-volume caseload of Life claims
  • Communicate with agents, beneficiaries and attorneys both written and verbal

Benefits

  • Day one health, dental, and vision insurance
  • 401(k) Plan with competitive employer match
  • Vacation, sick, holiday and volunteer time off
  • Life and disability insurance
  • Flexible Spending Account & Health Savings Account
  • Professional development
  • Tuition reimbursement
  • Company-sponsored social and philanthropy events

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

1-10 employees

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