Senior DI Claims Examiner

2 weeks ago

Remote USA PositionAmeritas HQ is Lincoln Nebraska, United States Ameritas Full time

 Position Description: 

The Sr DI Claims Examiner uses strong subject matter knowledge to evaluate, analyze, and adjudicate claims in compliance with state and federal laws while providing timely and accurate service to clients. The incumbent works independently and influences others to achieve operational targets and customer retention.

 At Ameritas, our mission is Fulfilling Life. We do that in many ways, but especially by helping people invest in themselves by offering trusted financial products and advice. Because we believe everyone should be happy, healthy and financially secure, we work hard to provide trusted financial products and valued guidance, including individual life and disability insurance, employee benefits, retirement planning, investments, and wealth management services.

Position Location:

  • This position is remote and does not require regular in-office presence.

 

What you do:

  • Evaluates and authorizes disposition of complex claims.
  • Obtains and analyzes medical records and financial documents.
  • Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews.
  • Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer.
  • Interacts with and requests formal written opinions from Legal and Medical/Underwriting departments.
  • Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates.
  • Assists with recoveries from reinsurance carriers.
  • Performs all claims processing support functions.
  • Additional duties as required.

What you bring: 

  • Bachelor's Degree or equivalent experience required.
  • 1-3 years related experience.

What we offer: 

A meaningful mission. Great benefits. A vibrant culture 

Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.

 

At Ameritas, you’ll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don’t: 

 

Ameritas Benefits

For your money: 

  • 401(k) Retirement Plan with company match and quarterly contribution
  • Tuition Reimbursement and Assistance 
  • Incentive Program Bonuses 
  • Competitive Pay 

For your time: 

  • Flexible Hybrid work
  • Thrive Days - Personal time off
  • Paid time off (PTO)

 

For your health and well-being: 

  • Health Benefits: Medical, Dental, Vision 
  • Health Savings Account (HSA) with employer contribution
  • Well-being programs with financial rewards
  • Employee assistance program (EAP)

 

For your professional growth: 

  • Professional development programs
  • Leadership development programs
  • Employee resource groups
  • StrengthsFinder Program

 

      For your community:

  • Matching donations program
  • Paid volunteer time– 8 hours per month

 

For your family: 

  • Generous paid maternity leave and paternity leave
  • Fertility, surrogacy and adoption assistance
  • Backup child, elder and pet care support
 

 

 

An Equal Opportunity Employer

 

Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we’re committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. 

The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan.

Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for all job postings is one way Ameritas shows our commitment to equitable compensation practices.

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