Claims Examiner

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🔥 0 minutes ago

🗽 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

⚕️ Healthcare Insurance

💸 Finance

Insurance • Healthcare Insurance • Finance

Security Mutual Life Insurance Company of New York is a comprehensive provider of life insurance products including whole life, term life, and universal life insurance. Additionally, the company offers a range of financial planning services such as retirement planning, estate planning, and asset protection strategies. With a commitment to long-term financial security for individuals and businesses, Security Mutual Life strives to educate and support its policyholders in achieving their financial goals.

📋 Description

• Develop proficiency in handling all aspects of the claim process for assigned claims • Learn to process claims, receive and maintain reports, guide beneficiaries through the claim process, file for reinsurance, and provide customer service • Evaluate and process disability claims for payment or denial according to policy terms and conditions • Review submitted claims for compliance with guidelines and eligibility requirements • Contact policyholders, beneficiaries, and third parties for missing information • Participate in scheduled queue call handling and dedicated client telephone calls • Respond to basic inquiries and help callers understand 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 thorough, accurate statutory files • Follow up on outstanding requirements and distribute claim documents • Assist with claims account reconciliation and provide backup support • Provide customer service and professional communications to internal and external customers • Investigate claims by searching databases, interviewing claimants and witnesses, and consulting records and professionals • Assist with claims involving suspected fraudulent or criminal activity • Address inquiries from insureds, policyholders, agents, physicians, hospitals, attorneys, agencies, carriers, reinsurers, and internal staff • Analyze claim reports and take appropriate action • Set up incoming claims and process daily mail within required time standards • Complete follow-up and resolve claims within regulatory and internal guidelines

🎯 Requirements

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

🏖️ Benefits

• Competitive salary and benefits • Telecommuting arrangement may be available • Equal Opportunity Employer • Community and charitable initiatives and organizations supported by the company