Associate – Insurance, Life

This is a fully remote position, open to applicants in Texas.

📋 Description

• Evaluate and determine the eligibility of employee benefit claims in accordance with policy terms and conditions.

• Collect necessary documentation from claimants, healthcare professionals, and various sources to facilitate claim assessment.

• Review medical records, employment history, and additional information for both quantitative and qualitative analysis.

• Provide claim updates and solicit further information from claimants as needed.

• Work collaboratively with healthcare providers, employers, and other relevant parties to ensure claims are processed accurately and efficiently.

• Maintain professional communication throughout the claims handling process.

• Accurately document and archive claim files within workflow systems.

• Generate reports and summaries of claims for internal evaluation and decision-making purposes.

• Conduct routine audits of claims documentation.

• Engage in training sessions related to policy, procedure, and regulatory updates.

⛳️ Requirements

• A Bachelor’s degree in Actuarial Science, Economics, Finance, Risk Management and Insurance, or a Master’s degree in Statistics.

• Essential skills include: Critical Thinking, Fraud Management, Insurance, Life Insurance, and Quality Management.

• Proficiency in English is required; must have an overall Advanced (C1) level of proficiency.

• Must adhere to industry regulations, company policies, and legal standards.

• Must uphold confidentiality and comply with data protection laws.

• Candidates based in Los Angeles, California are not eligible for this position.

🏝️ Benefits

• Practical experience, mentorship, and exceptional learning opportunities.

• Opportunities for transformation and innovation powered by AI.

• A values-driven culture founded on integrity and inclusivity.

• Equal Opportunity Employer.