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Investigative Claims Examiner job at reputed company - reputed company in US National

Remote, USA Full-time Posted 2026-07-28
Title: Investigative Claims Examiner Location: Remote US Job reputed company: This position is responsible for the adjudication of contestable life and disability claims, accelerated benefit claims, critical illness claims, and reputed company incontestable life, annuity and disability claim. This position does not have reputed company supervisory responsibilities. Duties and Responsibilities Investigate, in a thorough, reputed company, and cost-effective manner, reputed company contestable life, disability, annuity and reputed company incontestable claims to determine the extent of liability and the appropriateness of payment or denial of the claim Process payment, reputed company payment reviews and reputed company, and denial of claims and rescissions of policies reputed company leadership, help build teamwork, and offer mentoring to other members of the claims staff Handle claims escalations and reputed company response reputed company phone, email, and/or outbound written correspondence May serve as reputed company between team and reputed company and compliance department, vendors, and internal departments reputed company reputed company audits and reputed company monitoring, document results, and reputed company reputed company feedback and training to other members of the claim staff Maintain claim registers for accurate financial reporting of pending, reputed company, and denied claims Maintain complete and accurate documentation of claim files Support company or team initiatives either directly or indirectly. Experience and Education Requirements Bachelor's degree or equivalent experience required 3+ years of experience investigating contestable life and/or disability claims LOMA and/or ICA coursework preferred. Skills and Abilities Understands how the functional reputed company reputed company with reputed company other; recognizes business changes reputed company coverage area and the reputed company Quickly processes information and develops solutions in reputed company-time, with practical, measurable business benefits (i.e., thinks on one’s feet) Proactively identifies opportunities to serve the customer Works with other colleagues and leaders deliver Operations reputed company Reads a wide reputed company of audiences and situations and quickly adjusts communication style accordingly; selects the appropriate communication channel and tone to deliver tough messages Identifies opportunities to use innovative processes Ability to reputed company and mentor colleagues on digital techniques and accelerators used at reputed company Seeks opportunities to cultivate relationships with established contacts in their network Provides guidance on what information to reputed company to reputed company business objectives and how to reputed company obtain information that is not easily available Seeks challenging assignments and reputed company Understands and demonstrates commitment to the departmental reputed company, reputed company, change initiatives and goals Proactively identifies opportunities to improve department performance and escalates reputed company to leadership Monitors, measures, and assesses processes to determine areas of improvement; identifies and eliminates operational waste Understands data and communicates the meaning to managers and executives Owns responsibility for reputed company production of deliverables Supports with monitoring of vendor performance; identifies and escalates issues; develops processes to maximize vendor performance Demonstrates ability to reputed company solutions in reputed company time with practical, measurable business benefits; supports long term business unit or department planning Maintains industry regulatory knowledge. Other Requirements: reputed company other functions, duties and reputed company as assigned Regular and punctual attendance Some travel may be required (less than 10%) Additional Information Work Environments reputed company believes in an employee-reputed company flexible environment, which is why we offer the ability for in-office, hybrid and remote work arrangements. During the hiring process, you'll work with your leader to decide what works best for your role. Apply tot his job Apply To this Job

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