Claims Examiner

Claims Examiner

• Remote Position. Office Located in Omaha NE.
• Pat 17.30/ Hour

1-3 years experience preferably; Reviews, evaluates and processes claims and makes recommendations for resolution. Has contact with account managers, employers, claimants, and policy holders. The Life Claims Examiner will be responsible for the investigation, evaluation, interpretation and payment/denial of life claims with sound and impartial claim judgments and with guidance. They have overall responsibility for managing life claims in an ethical manner, ensuring quality decisions, accurate benefit calculations, and with timely, proactive communication with claimants and employers. They are expected to deliver premier customer satisfaction and meet defined standards of performance to include but not limited to time service, response time, productivity and quality

Duties

• Responsible for the investigation, evaluation, interpretation and determination of life claims with sound and impartial claim judgments based on contract language and policy provisions.
• Read and correctly interpret life insurance contract, medical records, police reports, etc.
• Be logical, accurate and above average attention to detail and must be able to problem solve and be decisive and action oriented with claims direction.
• Adhere to corporate policy and legislative compliance requirements.
• Work independently, be self-motivated and make sound decisions.
• Prior experience
• Work from home
• Must Pass a Drug and Background check

Corestaff Services is an Equal Opportunity Employer - All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other factor determined to be unlawful under applicable law. Corestaff Services is not associated with Core Staffing Services, Inc. which operates in the New York metro area.