Claims Examiner

Job Summary

This position is primarily responsible for the adjudication of incontestable life and annuity claims and handling inbound claims calls with service excellence and efficiency. This position has no supervisory responsibilities.

Duties and Responsibilities

• Adjudicate incontestable life and annuity claims for payment or denial.
• Communicate professionally with claimants, agents, attorneys, vendors, customer service representatives, investigators, law enforcement officials, and medical providers to ensure the prompt handling of claims, to keep interested parties apprised of the status of claim investigations, and to explain claim decisions
• Process payment and denial of claims.
• Maintain claim registers for accurate financial reporting of pending, paid, and denied claims. Assists in generating department metrics and reports.
• Maintain complete and accurate documentation of claim files.

Experience and Education Requirements

• College degree or equivalent experience preferred.
• 1 year of insurance experience in customer service or claims.
• LOMA and/or ICA coursework preferred.

Knowledge, Skills & Abilities

• Demonstrates basic understanding of how F&G is structured and the products / service offerings within respective coverage area.
• Demonstrates ability to build new skills and adapt to new ways of thinking.
• Handles customer questions and concerns in a timely and professional manner.
• Develops and maintains goal-oriented, collaborative and productive, team-driven relationships.
• Reads verbal, non-verbal, and written cues; effectively adjusts communication style to suit the needs of different audiences and situations.
• Develops awareness of new techniques, methods, and practices.
• Demonstrates basic awareness and understanding of digital techniques, methods, and tools used at F&G.
• Establishes working relationships with team members and colleagues.
• Asks thoughtful questions to understand business objectives or desired outcomes.
• Demonstrates ability to self-organize, set priorities, and manage workload.
• Demonstrates basic understanding of how current job fits into the organizational vision.
• Demonstrates awareness of workload and shared updates on availability with manager.
• Monitors, measures and assesses processes to determine areas of improvement; identifies and eliminates operational waste.
• Understands basic data concepts.
• Accepts and owns assigned project tasks; understands impact within the team or organization.
• Understands expectations for interaction with vendors for their functional area.
• Contributes to deliverables by executing work and providing team members with appropriate status updates.
• Demonstrates risk awareness and understands risk mitigation strategies.

Other Requirements:

• Perform other functions, duties and projects as assigned
• Regular and punctual attendance
• Some travel may be required (less than 10%)

#LI-MH1

#LI-Remote