Life Claims Examiner

About the role

In 2024, Primerica was recognized as a Top Workplace by the Atlanta Journal-Constitution and Forbes. The company has also been named one of America's Best Employers for Women by Forbes five times and one of America’s Greatest Workplaces for Diversity by Newsweek twice.

Responsibilities

• Reviews coverage eligibility and policy status and requests necessary proof of loss documents
• Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
• Determines benefit eligibility and recommends claims for payment or denial
• Communicate with agents, beneficiaries and attorneys both written and verbally
• Reviews and handles a high-volume caseload of Life claims

Qualifications

• Minimum 4 years’ experience adjudicating Life, Health, Medical or Disability Claims
• Adjudicating contestable life claims is a plus
• General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance
• Excellent interpersonal and team building skills
• Excellent verbal and written communication skills
• Excellent judgment, research, and organizational skills
• Ability to multi-task, prioritize and handle high volumes
• Excellent PC skills and knowledge and usage of Microsoft Office
• Detailed-oriented with the ability to work well independently and with others