Life Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist- Life and Voluntary Product Claims (REMOTE).

Key Responsibilities

• Manage and resolve complex insurance claims disputes and regulatory complaints
• Investigate appeals and ensure compliance with regulatory standards and internal policies
• Maintain detailed records of appeals and analyze trends for reporting purposes

Required Qualifications

• 3+ years of professional work experience in the insurance industry
• Experience with Group Insurance Claims (Life, Short Term Disability, Long Term Disability, and/or Paid/Unpaid Leaves)
• Previous experience with Department of Insurance Complaint handling
• Bachelor's degree in Business, Healthcare Administration, or equivalent experience is preferred
• Professional experience in group insurance claims management or appeals is advantageous