Claims Examiner I

About the role

A Claims Examiner processes notification of death claims, ensures compliance with state regulations during follow-up, reviews and adjudicates claims, and assists beneficiaries through calls and written correspondence.

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

Requirements

• 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, and able to use time efficiently
• Able to work independently and think critically
• Excellent written and verbal communication skills
• Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude

Qualifications

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