What are the responsibilities and job description for the Life Claims Examiner II position at Continental General?
Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. This is a hybrid position with 3 days in-office. We are also open to considering remote candidates. Join our team to help make a difference in the lives of others!
About Continental General:
The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.
ESSENTIAL JOB FUNCTIONS:
- Investigates and maintains basic to moderately complex claims:
- Reviews and evaluates coverage and / or liability.
- Secures and analyzes necessary information to review and pay claim benefits (i.e., reports, policies, appraisals, releases, statements, records, or other documents).
- May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
- Conveys simple to moderately complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
- Ensures that claims payments are issued in a timely and accurate manner.
- Ensures claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
- Performs other duties as assigned.
Note: Applicants must be authorized to work for a U.S. employer without sponsorship. We are unable to sponsor or take over sponsorship of an Employment Visa at this time or at any time in the future.
Education: High School Diploma or equivalent
Experience: 3 to 5 years of related experience
Scope of Job:
- Works within specific limits and authority on assignments of moderate complexity.
- Handles claims of high frequency and low severity
- Possesses demonstrated technical knowledge and skills, including product and industry knowledge, reflective of successful progression through various job family levels.
- Possesses good verbal and written communication skills.
- Performs work under general supervision.
