Claims Examiner - 0953
Company: Security Mutual Life Insurance
Location: Binghamton
Posted on: May 8, 2022
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Job Description:
As an experienced life insurance Claims Examiner, you will be
responsible for accurately and efficiently processing life life,
disability waiver, and other living benefit claims in the event of
a qualifying critical, chronic or terminal illness. This includes
performing research and other investigative techniques and using
your knowledge of life and disability products, state and federal
regulations, and company policies to process each assigned claim.
You will be responsible for demonstrating excellent customer care
over the phone as you empathetically and professionally answer
questions for and provide updates to clients who may be going
through an incredibly challenging time in their lives. You will
also perform account reconciliation, provide backup to team members
and complete other office duties.The level of the position will be
determined by relevant skills, experience and qualifications. To
support the health and safety of our employees, customers, other
business relations, and communities, individuals hired on or after
October 15, 2021 who work on-site in any Company office, undertake
business-related travel, or attend in-person meetings or events
related to their position are required to be fully vaccinated
against COVID-19 as of their date of hire. Applicants with a
disability or a sincerely held religious belief or practice in
conflict with the requirements of this policy may request a
reasonable accommodation through Human Resources.This position is
located in the Binghamton Home Office. Reliable internet service is
required due to the impacts of the pandemic.Description of Duties &
Responsibilities of a Claims Examiner: --- Confirm that claims have
been properly submitted and meet eligibility requirements.---
Handle incoming phone calls according to team rotational schedule
and respond accordingly, assisting callers in understanding claims
requirements and decisions.--- Process claims through system for
payment or denial. Perform follow-up on outstanding requirements in
accordance with regulatory guidelines. --- Create new claims files
and enter claims data and payments into systems as necessary.---
Assist with claims account reconciliation as needed.--- Investigate
life, disability, another living benefit, claims through database
searches, obtaining background information and interviewing of
claimants and witnesses. Consult professionals, records, and
files.--- Assist in handling claims with suspected fraudulent or
criminal activity. --- Address inquiries on assigned claims.---
Analyze department reports and take appropriate action. --- Ensure
processing time standards are met, follow up is completed and
claims processing is resolved within time requirements.Required
Skills & Experience of a Claims Examiner:--- Minimum of 3 years of
experience in life, disability or supplemental health claims.---
1-2 years of experience in a life insurance environment
preferred.--- Customer service experience.--- Familiarity with
medical terminology and Company products strongly preferred.---
Basic proficiency with Microsoft Word.--- Intermediate proficiency
with Microsoft Excel.--- Excellent written and verbal communication
skills.--- Excellent reading comprehension.--- Excellent judgement
and research skills.--- Ability to pay close attention to
detail.--- Ability to prioritize and organize a heavy workload.---
Ability to perform work accurately and thoroughly.--- Ability to
interpret medical files, reports and information.--- Experience in
nursing or closely related field preferred. --- Experience with
account reconciliation. --- Prior experience in adjudicating
incontestable and contestable death claims is a plus.Education
Required: Associate's Degree in Business or related field of study
required. Industry courses from organizations such as ICA or LOMA
is a plus.To apply:
https://workforcenow.adp.com/jobs/apply/posting.html?client=smlny&ccId=19000101_000001&type=MP&lang=en_USVisa
sponsorship is not available for this positionRelocation assistance
is not available for this positionSecurity Mutual is an Equal
Opportunity EmployerAbout SML:Security Mutual Life is a leading
provider of life insurance, accumulation products and retirement-,
business- and estate-planning services for individuals, families
and businesses. Our innovative products help our clients meet their
financial protection needs. Headquartered in Binghamton, New York,
the Company was founded in 1886 and is recognized for its
longstanding history of financial strength and stability.We
continually invest in technology. Our agents and employees are
equipped with the latest tools and deliver outstanding service to
our hundreds of thousands of policyholders throughout the United
States.We are committed to our neighbors and communities. Security
Mutual and its employees help support a wide variety of community
and charitable initiatives and organizations through our donations
and service.At Security Mutual our employees are among the
Company's most valued assets. We offer competitive salary and
benefits and our work environment reflects the Company's core
values of trust, respect and integrity.
Keywords: Security Mutual Life Insurance, Binghamton , Claims Examiner - 0953, Other , Binghamton, New York
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