Claims Examiner
1 day ago
Kuvare is on a mission to serve hardworking consumers overwhelmed by the complexities of retirement and is built from the ground up to do so. Our unified financial hub protects the retirement of everyday Americans and the distributors, carriers and investors that serve them. We create life insurance and annuity products that protect consumers' retirements, and are simplified for distributor partners and financial professionals to sell and service.
Kuvare family of companies:
Retail Annuity and Life Insurance Solutions:
- United Life Insurance Company
- Guaranty Income Life Insurance Company
- Lincoln Benefit Life
Institutional Insurance:
- Kuvare Life Re
Bespoke Insurance Solutions:
- Ignite Partners
About the role
Claims Examiners are confident decision-makers, playing an important oversight role in the claims process. To process, monitor, review and approve/deny living benefits and death claims. This includes reviewing medical information and case history to determine if additional investigation is required. Inform, notify, educate, and communicate with agents, insureds/claimants, beneficiaries, and internal departments. Monitor and maintain claims computer systems and reports for accuracy and efficiency
What you'll do
- Review claims reports and mail. Analyze investigative material for coverage to determine if claim is to be paid or denied, and if policy/certificate needs to be reformed/rescinded.
- Maintain contact with agents and corporate legal counsel as needed.
- Process payments and correspondence on a timely basis to ensure accurate and prompt processing.
- Review new claims and determine if coverage is in force and claim is valid. Set up file; request additional information needed. Initial review includes reinsurance participation, contestability, beneficiary designations, coverage exclusions. Conclude what, if any, benefit applies and the amount to be reimbursed.
- Organize work/resources to accomplish objectives and meet deadlines
- Maintain compliance with federal and state regulations
- Maintain the privacy and security of all confidential and protected information; use and disclose only that information which is necessary to perform the function of the job
- Demonstrate the willingness and ability to work collaboratively with other key internal and external staff to obtain necessary information from both internal and external partners.
- Participate in all educational activities and demonstrate personal responsibility for job performance
- Take initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities, as deemed appropriate
- Consistently demonstrate a positive and professional attitude at work
- Deliver a high standard of service and empathy when following up with customers by letter, email, or telephone once the claim has been resolved.
- Efficiently answer incoming telephone or email inquiries from customers about the status of their claim, striving for excellence at every touchpoint.
- Work with other departments to maintain and update claims systems and ensure accuracy of reports. Maintain relationships with beneficiaries, agents, insureds/claimants, and creditors.
- Accurately research discrepancies and be responsible for escalating questionable claims to your manager.
Skills/Competencies
- Strong organizational skills with elevated level of attention to detail
- Demonstrated persistency and ability to deliver results under pressure
- Excellent interpersonal, verbal communication and proofreading skills
- Proficient in Microsoft Office, etc.
- Must be a flexible self-starter who can prioritize tasks, follow through and meet deadlines
- Ability to work independently with minimal supervision
- Strong risk assessment and conflict resolution skills.
- Ability to read and interpret contract language
- Normal office working environment, full time with some flexibility
- Occasional evening and weekend hours to meet deadlines
- Ability to type / perform data entry
- Ability to read from a computer screen and paper reports
- Express ideas and otherwise communicate with the spoken word
The pay range for this role is:
45,000 - 55,000 USD per year (Des )
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