Claims Examiner

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Review and determine eligibility for group life and AD&D claims based on policy provisions
• Maintain claim records and communicate status and decisions to policyholders and beneficiaries
• Educate policyholders and internal partners on proper policy administration and identify process improvement opportunities

Required Qualifications

• Expert knowledge in claims examination and policy interpretation
• Ability to maintain performance metrics and accurately issue payments
• Experience with legal consultations and medical resource referrals
• Flexibility and collaboration skills for a positive work environment
• Current authorization to work in the United States