Claims Examiner

Job Opportunity: Claims Examiner at Southern Farm Bureau Life Insurance 

Company Overview: Southern Farm Bureau Life Insurance is a leading provider of life insurance and financial services. We are committed to serving our policyholders and communities with integrity and excellence. As a Claims Examiner, you’ll be an essential part of our Claims team, contributing to the success of our organization.

Location: Jackson, MS

Role and Responsibilities: The Claims Examiner examines all claims in assigned states and grants final approval of claims within limits. The Claims Examiner also recommends payments beyond limits and recommends claim denials. Your responsibilities will include:

• Examine claim type as assigned (Death, Health, Group, Long Term Care). Calculate and pay benefits due within designated authority limits.
• Review death claim notices in assigned states and analyze entire policy file to verify rightful payee and release appropriate claim forms. Authorize advance payments to beneficiaries when appropriate requirements are met.
• Order and monitor investigations on contestable, accidental death benefit, and health claims, when necessary.
• Communicate daily with agency force, insureds, beneficiaries, law enforcement authorities, investigative agencies, attorneys, reinsurance companies, funeral homes, medical offices, etc., regarding claims.
• Handle complicated claims and conflicts when necessary.
• Confer with legal counsel on adverse claims/claims requiring litigation.
• Follow up on pending claims.
• Approve correspondence prepared by the Intake Specialist and/or Claims Service Representative.
• Maintain complete and accurate documentation of claim files.

Qualifications:

• Bachelor’s degree or two years Claims experience and FLMI or FLHC
• Basic insurance knowledge preferred
• Prior customer service experience preferred
• Basic computer knowledge
• Excellent judgement and communication skills (oral and written)
• Ability to Multi-task
• Excellent organizational skills
• The ability to function effectively in the workplace as exhibited through one’s integrity, courage to act and communication skills.
• The ability to work with others effectively as exhibited through one’s respect for people and commitment to teamwork.
• The ability to meet organizational goals and customer expectations as exhibited through one’s accountability for results, commitment to service and initiative.
• The ability to perform the essential functions of the job as exhibited through one’s growth in job knowledge and professional development.

Employee Benefits: We value our employees’ well-being and offer a comprehensive benefits package:

1. Health Insurance:
• Comprehensive coverage for employees and their families.
• Access to an onsite clinic, preventive care, and prescription drugs.
• Mental health coverage and an Employee Assistance Program.
2. Active Lifestyle Rewards Program:
• Incentives for maintaining an active lifestyle.
• Rewards for participating in fitness challenges and wellness activities.
3. Weight Management Programs:
• Customized weight management plans.
• Support for achieving and maintaining a healthy weight.
4. Employee Engagement:
• Opportunities to connect with colleagues.
• Fun teambuilding activities.
5. Annual events for employees and their families
• Company Picnic, Thanksgiving lunch, Christmas Reception.
• Family Fun Night
6. Onsite Cafe:
• Convenient access to nutritious meals.
• Promoting healthy eating habits.
7. Learning & Development:
• Continuous learning opportunities.
• Tuition reimbursement for further education.
8. Mentorship Programs:
• Pairing employees with mentors.
• Professional growth and guidance.
9. Promotional Opportunities:
• Advancement within the company.
• Career growth prospects.
10. Life Insurance and Company-Funded Pension:
• Financial security for employees and beneficiaries.
• Retirement planning.
11. Volunteer Days:
• Paid time off for volunteering.
• Contributing to the community.