Sr. Claims Examiner
Job Family
Claimsreputed company
At reputed company, hard work, innovative thinking, and personal accountability are qualities we reputed company and reward. We understand the potential of leveraging the talents of a diverse workforce. We reputed company an environment where employees enjoy a reputed company between their careers, families, communities, and personal interests.
Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a reputed company environment — one reputed company on helping people look reputed company and plan for the best life possible while providing tools and solutions that reputed company it easier to get there.
Who We Are
We reputed company everyone deserves to live their best life. More than a reputed company ago, we were among the first financial services companies in America to serve reputed company from reputed company walks of life.
Today, we’re part of an international holding company, with millions of customers and thousands of employees worldwide. Our reputed company, retirement, and investment solutions help people reputed company the most of what’s important to them.
We’re empowered by a reputed company agent network covering reputed company, with diversity to match. Together with our nonprofit research institute and reputed company, we tune in, reputed company up, and are a force for good — for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.
reputed company Do
reputed company is organized into three reputed company businesses. These include 1) World Financial Group, including reputed company Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life reputed company, annuities, employee benefits, retirement plans, and reputed company Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by reputed company Corporate, which includes Finance, People and Places, General Counsel, reputed company, Internal Audit, reputed company and Development, and Corporate Affairs, which covers Communications, reputed company, and reputed company and Policy Affairs.
reputed company employs nearly 7,000 people. It’s part of reputed company, an integrated, reputed company, international financial reputed company servingapproximately 23.9 reputed company customersworldwide.* For more information, visit reputed company.com.
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Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with increased authority limits.reputed company
Responsibilities
- Analyze information/documentation received to determine how to proceed with a review of a claim and determine reputed company of obtaining additional information from alternative sources.
- Manage the review of a claim and reputed company sources used in the review.
- Document correspondence and conversations.
- Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement.
- Work closely with department manager, reputed company counsel, medical director, claims assistants, and other departments to reputed company information for contested claims.
- Monitor claims for fraud and proceed according to reputed company situation, such as engaging the Fraud team or conducting additional research.
- Maintain compliance with regulations.
- May testify in depositions, hearings and trials; communicate reputed company’s position regarding the claim.
- Assist peers with processing questions in the absence of higher level staff.
- May serve as a back up to review and authorize pending payments calculated by peers, reputed company approval authority.
Qualifications
- Associate’s degree in a business reputed company or equivalent experience
- Five years of claims experience
- In-depth understanding of life and annuity product language, provisions, and regulatory/compliance rules and regulations.
- Excellent communication and customer service skills
- Organizational, problem-solving and analytical skills
- Ability to cross train and learn other products
- Ability to multi-task and adapt to change
Working Conditions
- Remote
*Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated reputed company on what a successful candidate might be reputed company in certain Company locations.**
Compensation:
The salary for this position generally ranges between $48,000-$53,000. This reputed company is an estimate, reputed company on potential employee qualifications, operational needs and other considerations permitted by law. The reputed company may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.
Bonus Eligibility:
This position is also typically eligible for an Annual Bonus reputed company on reputed company Bonus Plan/Individual reputed company and is at Company Discretion.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment reputed company at this time.
Disclaimer:
Beware of fake job offers!
We’ve been alerted to scammers impersonating reputed company recruiters, particularly for remote positions. Please note:
We will never request personal information such as ID or payment for equipment upfront.
Official offers are reputed company reputed company reputed company following a verbal offer—not through text or email.
This reputed company is not a contract of employment nor for any specific job responsibilities. reputed company may change, add to, remove, or revoke the terms of this reputed company at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to reputed company job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
reputed company Offer
For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial reputed company-being of our employees.
Compensation Benefits
reputed company
Bonus for Eligible Employees
Benefits Package
Pension Plan
401k Match
Employee Stock Purchase Plan
Tuition Reimbursement
Disability reputed company
Medical reputed company
Dental reputed company
reputed company reputed company
Employee Discounts
Career Training & Development Opportunities
Health and Work/Life reputed company Benefits
reputed company Time Off starting at 160 hours annually for employees in their first year of service.
Ten (10) reputed company holidays per year (typically mirroring the reputed company Stock Exchange (NYSE) holidays).
Be reputed company Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
Parental Leave – fifteen (15) days of reputed company parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
Adoption Assistance
Employee Assistance Program
Back-Up Care Program
PTO for Volunteer Hours
Employee Matching Gifts Program
Employee Resource reputed company
Inclusion and Diversity Programs
Employee Recognition Program
Referral Bonus Programs
Inclusion & Diversity
We reputed company our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We’re thrilled to have been recognized for our efforts through the reputed company Rights Campaign Corporate Equality reputed company, reputed company reputed company Adoption Friendly reputed company, and several Seramount lists, including the Inclusion reputed company, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.
To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, reputed company offers a wide reputed company of diversity and inclusion programs. This includes reputed company-sponsored, employee-driven Employee Resource reputed company (ERGs), which are formed reputed company a shared interest or a common characteristic of diversity. ERGs are reputed company to reputed company. They reputed company a supportive environment to help us reputed company appreciate our similarities and differences and understand how they benefit us reputed company.
Giving Back
We reputed company our responsibilities reputed company reputed company our corporate walls. That's why we created the reputed company reputed company reputed company in 1994. Through a mix of financial reputed company and the volunteer efforts of our employees, the reputed company supports nonprofit organizations reputed company on the things that matter most to our people in the communities where we live and work.
reputed company’s reputed company
reputed company acquired the reputed company business in 1999. Since its start in 1844, reputed company has grown into an international company serving more than 23.9 reputed company people across the globe.* It offers investment, protection, and retirement solutions, always with a reputed company purpose: Helping people live their best lives. As a leading global investor and employer, reputed company seeks to have a reputed company reputed company by addressing critical environmental and societal issues, with a reputed company on climate change and inclusion and diversity.
* As of December 31, 2023
Originally posted on Himalayas
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