Hybrid , STD​/LTD or Waiver Claims Examiners

Job Description

Hybrid Partially Remote Temp-to-Hire Life, STD/LTD or Waiver Claims Examiners:
Lombard, IL

Our client a busy and fast-growing Insurance Company is currently looking to fill nine remote temp-to-hire,
Life, Disability or Waiver Claims Examiner Positions. You must have at least 1 year of recent claims and or benefits related work experience. A Bachelor’s Degree is required or equivalent work experience.

6 to 8 weeks of mandatory onsite training must be completed prior to working a hybrid partially remote work schedule.

You will be required to work 3 days onsite in the office and 2 days remotely from home. A company laptop will be provided for work purposes only.

These are temporary to hire full-time positions working Monday-Friday from (8:00am to 4:30pm).

Job Responsibilities

• Responsible for examining and processing all claim types including short-term or long-term disability, life, waiver of premium, critical illness, accidental insurance, hospital indemnity, etc.
• Review and promptly resolve customer problems and complaints concerning claims matters
• Respond to claim inquiries from insureds, beneficiaries, policyholders, and internal stakeholders. resolve issues through effective verbal and written communication.
• Investigate, research, verify and diligently obtain medical information on all claim types
• Adjudicate claims in accordance with established policies and procedures.
• Maintain accurate documentation of activities in claim files in accordance with company practices
• Approve or deny claims within policy limits
• Assist in the preparation of grievance summaries and information for lawsuits.
• Examine and analyze life claim information and make benefit decisions and payments on claims

Job Qualification Requirements

• Minimum of 1 year of recent claims/benefits experience w/Life, STD/LTD & waiver of Benefits.
• Claim adjudication experience with Critical Illness, Accidental Insurance, Hospital Indemnity or Short-Term Long Term disability claims is required.

• A Bachelor Degree is required or 4 years of recent and related work experience.
• Strong attention to detail, analytical, problem resolution, and research skills are needed.
• PC proficiency in Word, Excel, PowerPoint, Outlook, and Lotus Notes is required.
• Excellent customer service & communication and time management skills are essential.
• Experience processing one (1) of the following claim types:
  Life or Waiver of Premium claims.
• Experience in processing any of the following two (2) claim types:
  Critical Illness/Specified Disease, Accidental Insurance, GAP, Permanent and Total Disability (PTD benefits, Accidental Death and Dismemberment, Permanent and Total Disability (PTD), Accelerated Death Benefits.