Life Claims Examiner

Job description

Overview Evaluates claim information and decides appropriate course of action to properly assess, clarify and appraise the claim in compliance with policy provisions, claim procedures, legal requirements and professional ethics. Responsibilities: What you will do: - Reviews, analyzes, investigates and authorizes payment of life insurance claims within authority guidelines. - Evaluates claim information and decides appropriate course of action to properly assess, clarify, and appraise the claim in compliance with policy provisions, claim procedures, legal requirements and professional ethics. - May communicate directly with policyholders, beneficiaries, hospitals, doctors, attorneys and other internal and external areas. Contacts involve planning and preparation of the communications, requiring skills, tact, persuasion and negotiation to reach resolution. - Provides technical and professional advice to team members to help meet department objectives. Identifies trends, efficiency and improvement opportunities. - Provides guidance regarding general claim policy, as well as specific claims problems involving the validity of claim, interpretation of policy contracts and terminology. -...