Life Claims Examiner

Forrest T Jones & Company•Kansas City, MO

1d•Onsite

About The Position

Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets. The Life Claims Examiner is responsible for the accurate and timely processing of life claims. The Life Claims Examiner is expected to provide courteous and prompt response to customer inquiries.

Requirements

Excellent oral and written communication skills.
PC skills, including Microsoft Word and some experience with Excel.
Typing ability of 45 wpm.
Ability to learn all functions of claims processing software as is necessary for claims processing and adjudication.
Must be able to adapt to software changes as they occur.
Basic knowledge of life claims practices.
Basic mathematical skills.
Strong interpersonal skills to work effectively with others, and able to work in a team environment.
Strong organizational skills.
Strong analytical and interpretive skills.
Ability to meet productivity standards with 99% financial accuracy.
Ability to be flexible, work under pressure, and meet deadlines.
Ability to occasionally work overtime as required.
High School Diploma or equivalent.
Five years of claims processing experience required, preferably life claims.

Responsibilities

Verifies the accuracy and receipt of all required documentation for each claim submitted.
Evaluates claims for benefit payment according to policy provisions, verifies the eligibility, and ensures that the system processes each claim correctly.
Communicates with insureds, agents, providers, attorneys, and employers.
Documents the claim and image systems in an accurate manner.
Contributes to the daily workflow with regular and punctual attendance.
Adheres to the Claims Department’s established time-in-process, production, and quality standards.
Performs related or other assigned duties as required.
Maintains a professional demeanor with internal and external clients, insureds, and all FSL/FTJ associates and affiliates.