Associate Claims Examiner

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🗽 New York, Texas – Remote

🗽 New York – Remote 🤠 Texas – Remote

💵 $20 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

👻 Ghost score 0%

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Security Mutual Life Insurance Company of New York

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1886

🛡️ Insurance

💸 Finance

Insurance • Finance

Security Mutual Life Insurance Company of New York is a mutual life insurance company based in Binghamton, New York that provides life insurance and related financial protection products and services to individuals, families and businesses. Its offerings include whole life, term life, annuities, disability and long-term care products, workplace benefits, qualified retirement plans, estate and personal financial planning, business succession and key-person protection, and various client education resources and online policy services. The company emphasizes long-term financial security for policyholders and publishes educational content, newsletters and podcasts; it also maintains customer service portals for policy access and payments and has been recognized in industry rankings.

📋 Description

• Develop proficiency in handling all aspects of assigned claims • Process claims for payment or denial according to policy terms and conditions • Receive and maintain reports • Guide beneficiaries through the claim process • File for reinsurance • Provide customer service to internal and external customers • Review submitted claims for adherence to guidelines and eligibility requirements • Contact policyholders, beneficiaries, or third parties for missing information • Participate in scheduled queue call handling and dedicated client telephone calls • Respond to basic inquiries and explain claims requirements and decisions • Process assigned claims through claims processing systems • Create claims files and enter claims data and payments into applicable systems • Process and distribute paper and electronic mail and faxes • Prepare claims documents for imaging and maintain statutory files accurately • Follow up on outstanding requirements and comply with regulatory and state requirements • Distribute claim documents to assigned claim examiners • Assist with claims account reconciliation and provide backup support • Claims Examiner: investigate claims, interview claimants and witnesses, and verify information using police, hospital, and policy records • Claims Examiner: consult lawyers and physicians on complex claims • Claims Examiner: assist with suspected fraudulent or criminal activity • Address inquiries from insureds, policyholders, agents, physicians, hospitals, attorneys, regulators, carriers, reinsurers, and internal staff • Analyze claim reports and take action on prioritized cases • Set up incoming claims and process daily mail within required standards • Complete follow-up and resolve claims within state, federal, and internal time guidelines

🎯 Requirements

• Associate’s degree in business required; degree in a related field is acceptable • Associate Claims Examiner: 2–3 years of related experience required • Associate Claims Examiner: 1–2 years of life insurance experience required • Experience in a customer service or insurance industry environment required • Intermediate experience with Microsoft Excel required • Basic experience with Microsoft Word required • Claims Examiner: 3–5 years of related experience • Claims Examiner: 3–5 years of life insurance experience required • Claims Examiner: Administration experience required • Familiarity with medical terminology and Company products strongly preferred • Industry-recognized certifications preferred • Experience with Sigma, E-Records, Life Support Plus, Freedom, and Lotus Notes strongly preferred • Visa sponsorship is not available for this position

🏖️ Benefits

• Competitive salary and benefits • Telecommuting flexibility may be available • Relocation assistance is not available • Visa sponsorship is not available