Life Claims Manager

Ameritas•Remote USA Position-Ameritas HQ is Lincoln, NE

2d•Remote

About The Position

The Life Claims Manager leads claim evaluation, analysis, and adjudication in compliance with state and federal laws while providing timely and accurate service to clients. As a subject matter expert, this individual leads high-profile and complex cases and provides guidance to entry-level associates and peers. This is an individual-contributor position and does not manage other associates. The position is remote within the United States and does not require regular in-office presence. The role evaluates and authorizes dispositions for most complex claims, analyzes and recommends dispositions for contestable and complex claims with questionable liability and limits up to $850,000, and initiates and manages claim investigations. The position coordinates field and external investigations, consults Legal and Medical/Underwriting departments for formal written opinions, makes advanced independent decisions, composes advanced written and oral communications that may be subject to litigation, assists with reinsurance recoveries, and supports claims processing, including training new and entry-level associates.

Requirements

Bachelor’s degree or equivalent combination of education and experience.
4–7+ years of life insurance or life claims experience.

Responsibilities

Evaluate and authorize disposition of the majority of complex claims.
Analyze and recommend disposition of contestable and complex claims where liability is questionable, with limits up to $850,000.
Initiate and manage claim investigations and coordinate field and external investigations.
Consult with Legal and Medical/Underwriting departments and request formal written opinions.
Make advanced independent decisions using judgment and experience.
Compose advanced written and oral communications that may be subject to litigation.
Assist with recoveries from reinsurance carriers.
Perform claims processing support functions, including assisting with training for new and entry-level associates.
Provide guidance to entry-level associates and peers.