Claims Examiner I

Job Description

We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence.

Job Responsibilities

• Review and process non-contestable death claims
• Create payments and letters to settle claims
• Correspond with claimants via phone, letter, and email
• Follow all state regulations, being mindful of Unfair Claim Practice regulations
• Provide excellent, prompt customer service to beneficiaries and other callers
• Reconcile suspense items, returned mail, and other items in workflow according to service level agreements

Experience and Qualifications

• Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications)
• Knowledge of life and disability insurance
• Well organized, detail oriented, uses time efficiently
• Able to work independently and think critically
• Excellent written and verbal communication
• Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude

Education Qualifications

Four year degree from an accredited college or university, or relevant industry experience