Claims Examiner

Claims Examiner

Requirements

• 2+ years of customer service experience.
• Excellent attention to detail.
• Strong analytical skills.
• Good judgment and decision-making skills.
• Strong written and verbal communication skills.
• Good organizational skills.
• Positive and compassionate attitude.
• Demonstrated ability to effectively achieve results in both an individual production and team environment.
• Ability to learn and adapt to new and/or changing technologies.
• Desire to provide world-class customer service.

Responsibilities

• Conducts investigations in a manner consistent with company standards of objectivity, fairness and reasonableness making claims decisions on claims within appropriate approval authority.
• Working knowledge of policy provisions exclusions and state regulations so that claims are handled accordingly, and recommendations are appropriate.
• Conducts research by email and phone with a variety of people (internal and external) to gather information necessary to continue or complete the review of a claim.
• Documents and communicates claim status and decision in a clear and organized manner to all interested parties.
• Exercises flexibility and creativity while making logical and high-quality decisions.

Preferred Qualifications

• Knowledge of Employer Related Life Insurance products.
• Experience with web-based claim or customer administration systems.
• Demonstrated proficiency with Microsoft Outlook, Word, Excel, and Lotus Notes.