Claims Associate

Customer SupportCustomer SupportFull TimeRemote

Location

United States

Posted

15 days ago

Salary

Not specified

No structured requirement data.

Job Description

The Claims Associate is responsible for reviewing documents received for all Life and Annuity claims, and adjudicating the claim in accordance with state regulations and company policy. Checks claim applications for completeness and accuracy. Ability to adjudicate claims more complex in nature and with level of independence, including contestable claims and/or ABR/WP/DI claims. Consults policy file to verify the information the claimant reports in a claim. Interprets policy language to assure adherence to the legal document, consults the legal department when needed. Authorized appropriate payment, denies the claim, or refers the claim to a more senior examiner. May oversee the work of a less senior examiner as well as co-approve a claim. Supports the training of new hires. Comfortable working on multiple claims at the same time.

Job Requirements

  • 5+ years industry experience as a Claims Examiner, preferably in Health and Long Term Care claims; death claims for life and/or annuity product lines.
  • Bachelor’s degree.
  • LOMA Courses (expected) and ALHC (International Claim Assoc. designation a plus).
  • Will be expected to take ICA course work.
  • Ability to successfully pass a background check that may include fingerprinting.

Benefits

  • Your benefits start day one and are flexible and customizable to your and your family’s specific needs.
  • The total compensation package for this position may also include a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).
  • The successful candidate may also be eligible to participate in National Life’s discretionary annual incentive programs, subject to the rules governing such programs.

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