Life Claims Examiner

Primerica • Duluth, GA

1d • Remote

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. Open to candidates that reside anywhere in the United States but must work 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees