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Insurance Claims Examiner

Company: Renaissance Life & Health Insurance of America
Location: Binghamton
Posted on: January 9, 2019

Job Description:

Renaissance Life & Health is seeking an experienced Claims Examiner! What will you be responsible for as a Group Claims Examiner? The Group Claims Examiner is responsible for evaluating and processing disability claims for payment or denial according to the terms and conditions of each policy.

  • You will review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met
  • Strong communication skills will be needed to contact group policyholders, beneficiaries or other third parties for missing information, as well as consult with lawyers, reinsurers or physicians on complex claims
  • You will investigate claims to validate benefits and eligibility, and calculate and authorize the appropriate payment for the claim and reinsurance.
  • Assistance in handling claims with suspected fraudulent or criminal activity, and answering inquiries on Group claims will also be required. What do I need to qualify for this position?
    • Minimum of 4-5 years related experience required and/or life insurance and/or disability claims experience required
    • Customer Service, Administration, and Data Entry experience required
    • Must have basic proficiency in Microsoft Word and Microsoft Excel
    • Excellent written and verbal communication skills and ability to perform work accurately and thoroughly
    • Ability to take care of both internal and external customer needs, pay close attention to details, and prioritize and organize a heavy workload

      Keywords: Renaissance Life & Health Insurance of America, Binghamton , Insurance Claims Examiner, Other , Binghamton, New York

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