Benefit Claims Technician

Job Summary

A company is looking for an Accident, Critical Illness and Hospital Indemnity Benefit Claim Technician.

Key Responsibilities

• Evaluate and adjudicate claims by analyzing relevant information and making documented decisions
• Maintain professional communication and build relationships with claimants, employers, and internal teams
• Ensure accurate financial determinations and provide timely updates to claimants while adhering to regulations

Required Qualifications

• Experience with insurance claims, particularly in Accident, Critical Illness, and Hospital Indemnity products
• Ability to analyze complex insurance and medical data and apply regulatory knowledge to claims decisions
• Proficient in calculating benefits using policy provisions and supporting documentation
• Highly organized with the ability to manage priorities and meet deadlines
• Able to work remotely with access to high-speed internet and located in the United States or Puerto Rico