Sr. DI Claims Examiner

Ameritas • Lincoln, NE

7d • Remote

About The Position

The Sr. DI Claims Examiner evaluates and authorizes the disposition of complex claims. The role obtains and analyzes medical records and financial documents, initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews, and communicates with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured employers. The examiner interacts with and requests formal written opinions from Legal and Medical/Underwriting departments, makes claim evaluation decisions using judgment, experience, and collaboration with senior associates, and performs all claims processing support functions.

This is a remote position within the United States, preferably in the Eastern or Central time zone, and does not require regular in-office presence. The employer describes flexible hybrid work options among its benefits.

Requirements

• Bachelor’s degree or equivalent experience.
• 1–3 years of related experience.

Nice To Haves

• Experience working with DI or life insurance.

Responsibilities

• Evaluate and authorize the disposition of complex claims.
• Obtain and analyze medical records and financial documents.
• Initiate and monitor medical reviews, independent medical examinations, surveillance, and financial reviews.
• Correspond with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured employers.
• Interact with and request formal written opinions from Legal and Medical/Underwriting departments.
• Make claim evaluation decisions using judgment, experience, and collaboration with senior associates.
• Perform all claims processing support functions.

Benefits

• 401(k) retirement plan with company match and quarterly contribution.
• Tuition reimbursement and assistance.
• Incentive program bonuses.
• Competitive pay.
• Flexible hybrid work.
• Thrive Days personal time off.
• Paid time off (PTO).
• Medical, dental, and vision health benefits.
• Health Savings Account (HSA) with employer contribution.
• Well-being programs with financial rewards.
• Employee assistance program (EAP).
• Professional development programs.
• Leadership development programs.
• Employee resource groups.
• StrengthsFinder Program.
• Matching donations program.
• Paid volunteer time—8 hours per month.
• Generous paid maternity leave and paternity leave.
• Fertility, surrogacy, and adoption assistance.
• Backup child, elder, and pet care support.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior