Life and Health Claims Examiner

7 days ago


Vergennes, Vermont, United States Horace Mann Full time
Job Summary

Horace Mann is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for evaluating claims submitted, comparing policy provisions and applicable laws to accurately adjudicate the claim. You will also be responsible for providing claimants with necessary forms, instructions, and reasonable assistance to gather information for proof of claim.

Key Responsibilities

• Evaluate claims submitted and compare policy provisions and applicable laws to accurately adjudicate the claim.
• Provide claimants with necessary forms, instructions, and reasonable assistance to gather information for proof of claim.
• Type letters for requests of medical and/or other necessary information relevant to the claim analysis.
• Communicate with policyholders, beneficiaries, and/or healthcare providers concerning claim handling, claim denials, claim payments, and policy contract provisions in a caring, courteous, empathetic, and professional manner.

Requirements

• 2 or more years' claim experience in life/health claims or a related field.
• High School Diploma or GED required. Bachelor's degree preferred.
• Some LOMA or AHIP classes completed or a willingness to take the classes.
• Ability to type 40 words per minute minimum.
• Working knowledge of Microsoft Outlook, Word, and Excel.
• Strong written and verbal communication skills.
• Ability to prioritize tasks and maintain excellent organizational skills.

Why Join Horace Mann?

Horace Mann is a leading provider of insurance and financial services to educators. We are committed to helping educators protect what they have today and prepare for a successful tomorrow. As a Claims Examiner, you will have the opportunity to work with a talented team of professionals who share your passion for delivering exceptional service to our customers. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

EOE/Minorities/Females/Veterans/Disabled

Horace Mann is an equal opportunity employer and welcomes applications from diverse candidates. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

  • Vergennes, Vermont, United States Horace Mann Full time

    Job SummaryWe are seeking a Claims Examiner to join our team at Horace Mann. As a Claims Examiner, you will be responsible for evaluating claims submitted, comparing policy provisions and applicable laws with submitted information to accurately adjudicate the claim.Key ResponsibilitiesEvaluate claims submitted and compare policy provisions and applicable...


  • Vergennes, Vermont, United States Bridge Specialty Group Full time

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.At Bridge Specialty Group, we're seeking an Underwriter Technician to join our Personal Lines team in Addison, TX.This role involves providing administrative and clerical support to our team, including processing data,...


  • Vergennes, Vermont, United States Zurich Insurance Group Full time

    Join Our Team as a Claims SpecialistZurich North America Claims is seeking a motivated individual to grow their claims career with our General Liability (GL) Team. We understand the importance of work-life balance and flexibility in choosing your next career step.About the Role:Contribute to the success of our General Liability TeamDevelop your claims...


  • Vergennes, Vermont, United States Zurich Insurance Company Ltd. Full time

    About the RoleZurich is seeking a skilled General Liability Claims Specialist to join our team. As a Claims Specialist, you will work with a diverse team of claims professionals to resolve claims efficiently and effectively.Key ResponsibilitiesHandle non-litigated General Liability claims of low to moderate exposure and complexity, including slip/trip and...


  • Vergennes, Vermont, United States Zurich Insurance Company Ltd Full time

    About the Role:Zurich is seeking a Claims Professional to join our General Liability team. As a Claims Professional, you will work with a diverse team of claims professionals to handle non-litigated General Liability claims of low to moderate exposure and complexity.Key Responsibilities:Handle non-litigated General Liability claims of low to moderate...


  • Vergennes, Vermont, United States Duly Health and Care Full time

    OverviewWe're seeking a skilled Radiologic Technologist to join our team at Duly Health and Care. As a key member of our diagnostic imaging team, you'll play a critical role in delivering exceptional patient care and contributing to our mission of helping others live happier and healthier lives.ResponsibilitiesOperate radiologic equipment to produce...

  • Contract Therapist

    4 weeks ago


    Vergennes, Vermont, United States Northeast DuPage Family and Youth S Full time

    About UsNortheast DuPage Family & Youth Services (NEDFYS) is a community-based, non-profit organization dedicated to providing high-quality, accessible mental health services. Our mission is to create a safe and supportive clinical environment where individuals and families can address their needs and regulate their thoughts and actions by tapping into their...

  • LPN - Addison IL

    1 month ago


    Vergennes, Vermont, United States Life Care Full time

    Job SummaryWe are seeking a compassionate and skilled Licensed Practical Nurse (LPN) to join our team at Clarendale of Addison. As an LPN, you will provide direct nursing care to residents, delegate and supervise the care provided by our Quality of Life Specialists/Resident Assistants, and promote independent living lifestyles.ResponsibilitiesAssist...


  • Vergennes, Vermont, United States Mpower Health Full time

    About the Role:The Sr. Database Developer will be responsible for designing and building databases/data warehouses to store and manage healthcare claims and financial data. This position will analyze data, develop, test, and implement processes to load it, and assist with reporting. This person will have a strong understanding of RDBMS/Data Warehouse...


  • Vergennes, Vermont, United States Nirvana Health & Wellness Full time

    Job Overview Nirvana Health & Wellness is seeking a highly skilled Family Nurse Practitioner to join our team. Responsibilities: * Provide high-quality patient care, including diagnosis, treatment, and consultations * Prescribe medication, examine patients, and diagnose illnesses * Order, interpret, and evaluate diagnostic tests * Gather health histories,...


  • Vergennes, Vermont, United States Nirvana Health & Wellness Full time

    Job SummaryNirvana Health & Wellness is seeking a highly skilled Family Nurse Practitioner to provide exceptional patient care in a collaborative environment. As a key member of our team, you will be responsible for delivering high-quality healthcare services to diverse populations.Key ResponsibilitiesPrescribe medication and provide treatment plans for...

  • Nurse Practitioner

    4 weeks ago


    Vergennes, Vermont, United States Education and Training Resources Full time

    Job SummaryWe are seeking a skilled Vocational/Practical Nurse to join our team at Education and Training Resources. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and support to our students.Key ResponsibilitiesConduct thorough medical examinations of students and provide accurate diagnoses and...


  • Vergennes, Vermont, United States Ithaca City School District Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Substitute Nurse in the Student Health Services department. The successful candidate will provide professional nursing services to students and employees, ensuring the maintenance of acceptable health standards and emergency treatment of health problems.Key ResponsibilitiesAssist in...


  • Vergennes, Vermont, United States Ithaca City School District Full time

    We are seeking a Substitute Registered Nurse to join our team at the Ithaca City School District. This is a call-in, as-needed position that requires a current R.N. license and experience working in a school district.Job SummaryThe Substitute Registered Nurse will be responsible for providing care and treatment to students, as well as performing related...

  • Public Health Nurse

    2 weeks ago


    Vergennes, Vermont, United States DuPage County Health Department Full time

    Job SummaryWe are seeking a skilled Public Health Nurse to join our team at the DuPage County Health Department. As a Public Health Nurse, you will play a critical role in promoting health and preventing disease in our community.Key ResponsibilitiesProvide direct public health nursing services to clients, including family case management, WIC nutrition...


  • Vergennes, Vermont, United States National Life Group Full time

    Empowering Careers in Financial ServicesAt National Life Group, we're passionate about empowering our team members to grow both personally and professionally. Our team is dedicated to providing exceptional service to our agents and customers, and we're seeking a highly motivated and detail-oriented individual to join our team as an Annuity Case...


  • Vergennes, Vermont, United States Endeavor Health Services Full time

    Endeavor Health Services Job OpportunityWe are seeking an exceptional Internal Medicine physician to join our team at our Addison location. The purpose of this role is to provide high-quality, patient-centered medical care in a dynamic and supportive environment.Key Responsibilities:Provide medical patient care by interviewing, examining, and treating...

  • Business Assistant

    1 month ago


    Vergennes, Vermont, United States Dental Health Professionals Full time

    Job DescriptionWe are seeking a highly skilled and organized Business Assistant to join our team at Dental Health Professionals. As a Business Assistant, you will play a vital role in ensuring the smooth operation of our dental practice.Key Responsibilities:Provide exceptional patient care and support to our dental teamManage patient records and maintain...

  • Physical Therapist

    4 weeks ago


    Vergennes, Vermont, United States BAYADA Home Health Care Full time

    Job OpportunityBAYADA Home Health Care is seeking an experienced Physical Therapist to join our team in South Burlington, VT. As a home health Physical Therapist, you will provide rehabilitative care and skilled nursing to clients in their homes, promoting their independence and well-being.ResponsibilitiesConduct home visits to assess clients' physical needs...


  • Vergennes, Vermont, United States Endeavor Health Services Full time

    Primary Care Physician Opportunity at Endeavor Health ServicesWe are seeking an exceptional Internal Medicine physician to join our team at our Addison location. As a Primary Care Physician, you will provide quality, appropriate, and cost-effective medical care for patients.Key Responsibilities:Provide medical patient care by interviewing, examining, and...