Claims Examiner

3 weeks ago

Jackson, United States Southern Farm Bureau Life Full time
Our Claims team is looking for a Claims Examiner to examine all claims in assigned states and grants final approval of claims within limits. The Claims Examiner also recommends payments beyond limits and recommends claim denials. The qualifications are:

  • Bachelor's degree (preferably in business related field)
  • Basic insurance knowledge preferred
  • Prior customer service experience preferred
  • Basic computer knowledge
  • Excellent judgement and communication skills (oral and written)
  • Ability to Multi-task
  • Excellent organizational skills
The role responsibilities are:
  • Examine claim type as assigned (Death, Health, Group, Long Term Care). Calculate and pay benefits due within designated authority limits.
  • Review death claim notices in assigned states and analyze entire policy file to verify rightful payee and release appropriate claim forms. Authorize advance payments to beneficiaries when appropriate requirements are met.
  • Order and monitor investigations on contestable, accidental death benefit, and health claims, when necessary.
  • Communicate daily with agency force, insureds, beneficiaries, law enforcement authorities, investigative agencies, attorneys, reinsurance companies, funeral homes, medical offices, etc., regarding claims.
  • Handle complicated claims and conflicts when necessary.
  • Confer with legal counsel on adverse claims/claims requiring litigation.
  • Follow up on pending claims.
  • Approve correspondence prepared by the Intake Specialist and/or Claims Service Representative.
  • Maintain complete and accurate documentation of claim files.
At Southern Farm Bureau Life Insurance Company, our Mission is to be the life insurance company of choice for our Farm Bureau family. Our focus is to provide competitive products and superior customer service to our Farm Bureau policyholders and agents, while observing the highest ethical standards. Southern Farm Bureau Life Insurance Company continues to build on over 75 years of success with an outlined strategic vision, defined core values and above all, our employees. Our Company strives to provide a workplace with an outstanding culture, focusing on the development, growth and engagement of its employees.

We are looking for candidates who model our Company's Core Values which are:
  • COMMITMENT TO SERVICE - recognizes that serving our agents, policyholders, and employees is the foundation of our success
  • RESPECT FOR PEOPLE - values individual's unique talents, backgrounds, and experiences
  • INTEGRITY- upholds the highest ethical standards in all of their actions
  • ACCOUNTABILITY FOR RESULTS - commits to getting the job done by taking ownership of their work
  • COMMITMENT TO TEAMWORK - understands, appreciates, and respects each individual's roles on their teams
  • COURAGE TO ACT - acts in the best interest of the Company

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