Hybrid Life, STD/LTD or Waiver Claims Examiners

2 months ago

Lombard, United States Managed Care Staffers Full time
Job DescriptionJob Description

Hybrid Partially Remote Temp-to-Hire Life, STD/LTD or Waiver Claims Examiners: Lombard, IL

Our client a busy and fast-growing Insurance Company is currently looking to fill nine remote temp-to-hire, Life, Disability or Waiver Claims Examiner Positions. You must have at least 1 year of recent claims and or benefits related work experience. A Bachelor’s Degree is required or equivalent work experience.

6 to 8 weeks of mandatory onsite training must be completed prior to working a hybrid partially remote work schedule.

You will be required to work 3 days onsite in the office and 2 days remotely from home. A company laptop will be provided for work purposes only.

These are temporary to hire full-time positions working Monday-Friday from (8:00am to 4:30pm).

Job Responsibilities

  • Responsible for examining and processing all claim types including short-term or long-term disability, life, waiver of premium, critical illness, accidental insurance, hospital indemnity, etc. 
  • Review and promptly resolve customer problems and complaints concerning claims matters
  • Respond to claim inquiries from insureds, beneficiaries, policyholders, and internal stakeholders. resolve issues through effective verbal and written communication.
  • Investigate, research, verify and diligently obtain medical information on all claim types
  • Adjudicate claims in accordance with established policies and procedures.
  • Maintain accurate documentation of activities in claim files in accordance with company practices
  • Approve or deny claims within policy limits
  • Assist in the preparation of grievance summaries and information for lawsuits.
  • Examine and analyze life claim information and make benefit decisions and payments on claims

Job Qualification Requirements

  • Minimum of 1 year of recent claims/benefits experience w/Life, STD/LTD & waiver of Benefits.
  • Claim adjudication experience with Critical Illness, Accidental Insurance, Hospital Indemnity or Short-Term Long Term disability claims is required.
  • A Bachelor Degree is required or 4 years of recent and related work experience.
  • Strong attention to detail, analytical, problem resolution, and research skills are needed.
  • PC proficiency in Word, Excel, PowerPoint, Outlook, and Lotus Notes is required.
  • Excellent customer service & communication and time management skills are essential
  • Experience processing one (1) of the following claim types: Life or Waiver of Premium claims.
  • Experience in processing any of the following two (2) claim types: Critical Illness/Specified Disease, Accidental Insurance, GAP, Permanent and Total Disability (PTD benefits, Accidental Death and Dismemberment, Permanent and Total Disability (PTD), Accelerated Death Benefits.

If you or anyone you know is interested, qualified and currently seeking employment please e-mail an updated resume to us for immediate review and consideration.

Company DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placementsCompany DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements

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