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Life Claims Examiner
Job in
New York, New York County, New York, 10261, USA
Listed on 2026-08-02
Listing for:
Jobtailor
Full Time
position Listed on 2026-08-02
Job specializations:
-
Insurance
Health Insurance
Job Description & How to Apply Below
- Responsible for active case management of Life claims
- Ensures claims are processed accurately within regulatory and company guidelines
- Deliver an exceptional customer experience and ensure customer commitments and deliverables are achieved
- Review and interpret medical records, utilizing resources as appropriate
- Complete financial calculations specific to claims when applicable
- Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication
- Apply contract/policy provisions to ensure accurate eligibility and liability decisions
- Foster strong relationships with customers to understand their needs and ensure high levels of satisfaction
- 2+ years prior experience managing Life claim products
- Excellent client relationship management skills
- Strong verbal, written communication, and presentation skills
Comfortable dealing with complexity and ambiguity and able to explore multiple solutions
- case management
- claims processing
- financial calculations
- medical record interpretation
- eligibility decisions
- liability decisions
- customer experience
- client relationship management
- verbal communication
- written communication
- presentation skills
- problem-solving
- adaptability
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