Claims Examiner Jobs

About The Position

Requirements

• Bachelor’s degree or two years Retirement and Tax experience and FLMI
• 3+ years experience working with AI models and frameworks, data management tools and data platforms
• In-depth knowledge of tax laws as they pertain to SFBLIC annuity and RPS products.
• Basic computer knowledge
• Excellent judgement and communication skills(oral and written)
• Ability to multi-task
• Excellent organizational skills

Nice To Haves

• Basic insurance knowledge preferred
• Prior customer service experience preferred

Responsibilities

• Examine Annuity and RPS claim types as assigned. Calculate and pay benefits due within designated authority limits.
• Review death claim notices in assigned states and analyze entire policy file to verify rightful payee and release appropriate claim forms. Authorize $5,000, $10,000, $15,000or $20,000 immediate payments to beneficiaries when appropriate requirements are met.
• Communicate daily with agency force, insureds, beneficiaries, law enforcement authorities, investigative agencies, attorneys, reinsurance companies, funeral homes, medical offices, etc., regarding claims.
• Handle problem claims and conflicts when necessary.
• Confer with legal counsel on adverse claims/claims requiring litigation.
• Follow up on pending claims.
• Approve correspondence prepared by the Intake Specialist and/or Claims Service Representative.
• Maintain complete and accurate documentation of claim files.
• Give depositions and court testimony in claim related litigation when necessary.

Benefits

• Health Insurance: Comprehensive coverage for employees and their families. Access to an onsite clinic, preventive care, and prescription drugs. Mental health coverage and an Employee Assistance Program.
• Active Lifestyle Rewards Program: Incentives for maintaining an active lifestyle. Rewards for participating in fitness challenges and wellness activities.
• Weight Management Programs: Customized weight management plans. Support for achieving and maintaining a healthy weight.
• Employee Engagement: Opportunities to connect with colleagues. Fun teambuilding activities.
• Annual events for employees and their families Company Picnic, Thanksgiving lunch, Christmas Reception. Family Fun Night
• Onsite Cafe: Convenient access to nutritious meals. Promoting healthy eating habits.
• Learning & Development: Continuous learning opportunities. Tuition reimbursement for further education.
• Mentorship Programs: Pairing employees with mentors. Professional growth and guidance.
• Promotional Opportunities: Advancement within the company. Career growth prospects.
• Life Insurance and Company-Funded Pension: Financial security for employees and beneficiaries. Retirement planning.
• Volunteer Days: Paid time off for volunteering. Contributing to the community.