Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)
QUALIFICATIONS/REQUIREMENTS:
Bachelor’s degree in business or related field, or equivalent work experience.
Two years of practical life insurance claim payment or Customer Service experience.
Must be 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 and compose clear, succinct descriptions when posting files and drafting correspondence.
Personal computer skills including use of MS Office Suite products.
Regular and reliable attendance and punctuality is an essential function of this position
DUTIES/RESPONSIBILITIES:
Analyze life claims and determine their validity based on policy provisions, riders, waivers, operating procedure, and state regulations; determine whether additional data is necessary; calculate the life benefits payable and any interest due; insure 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.
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.
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.
Job Type: Full-time
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Work Location: In person