What are the responsibilities and job description for the Claim Examiner position at Kansas City Life Insurance?
QUALIFICATIONS/REQUIREMENTS:
- Bachelor of Arts or Sciences degree in business field, related field, or equivalent work experience
- 2 or more years practical insurance claim payment experience or Customer Service experience
- Analytical, detail oriented and accurate.
- General knowledge of accounting principles.
- Effective communication skills to explain the facts and logic used to arrive at decisions in a way that the customer understands.
- Written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
- Personal computer skills including use of MS Office Suite products
DUTIES/RESPONSIBILITIES:
- Analyze claims and determine validity based on policy provisions, riders, waivers, operating procedure, and state regulations; determine whether additional data is necessary; calculate the benefits payable and any interest due; ensure that valid claims are reviewed and paid in a prompt and equitable manner or decline payment of benefits when loss is not covered under the terms and provisions of the policy. The maximum claim authority per file is $5250.00.
- Provide superior customer service to claimants or their representatives through written correspondence, telephone, and face-to-face contact in a courteous, tactful, and appropriate manner. Prepare tax forms, state notice forms, and state consent forms when applicable.
- Request reinsurance reimbursements and closely monitor outstanding reimbursement and request any payments due.
- Compile and communicate production reports as directed by Department Manager
- Perform other duties as assigned by manager.
Kansas City Life Insurance Company is committed to equal employment opportunities for all individuals regardless of race, religion, color, sex, age, national origin, disability, or genetic information.
Regular and reliable attendance and punctuality is an essential function of this position.
