Intermediate Claims Examiner

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

📋 Description

• Assess information and documentation to determine the appropriate steps for claim reviews.

• Identify methods to gather additional information from alternative sources.

• Evaluate claims alongside external sources.

• Record correspondence and interactions.

• Communicate verbally and in writing with claimants, medical providers, medical examiners, and law enforcement officials.

• Collaborate with the department manager, legal counsel, medical director, claims assistants, and other departments regarding contested claims.

• Monitor claims for potential fraud and liaise with the Fraud team or conduct further research as necessary.

• Ensure adherence to regulatory standards.

• Assess and analyze documentation for claim payments or denials in accordance with policy/certificate provisions and state regulations, within moderate authority limits.

⛳️ Requirements

• Associate’s degree in a business-related field or equivalent experience.

• Minimum of two years of claims experience.

• Solid understanding of life and annuity product language and provisions, along with regulatory/compliance rules and regulations.

• Strong communication and customer service abilities.

• Organizational, problem-solving, and analytical skills.

• Capability to cross-train and acquire knowledge of other products.

• Ability to manage multiple tasks and adapt to changes.

• Candidates must have authorization to work for any employer in the U.S.; employment visa sponsorship is not available.

🏝️ Benefits

• Competitive Pay

• Bonus for Eligible Employees

• Pension Plan

• 401k Match

• Employee Stock Purchase Plan

• Tuition Reimbursement

• Disability Insurance

• Medical Insurance

• Dental Insurance

• Vision Insurance

• Employee Discounts

• Career Training & Development Opportunities

• Paid Time Off starting at 160 hours annually for employees in their first year of service

• Ten (10) paid holidays per year

• Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars

• Parental Leave – fifteen (15) days of paid parental leave per calendar year for eligible employees with at least one year of service

• Adoption Assistance

• Employee Assistance Program

• Back-Up Care Program

• PTO for Volunteer Hours

• Employee Matching Gifts Program

• Employee Resource Groups

• Inclusion and Diversity Programs

• Employee Recognition Program

• Referral Bonus Programs