Claims Associate or Advisor
Life and Annuity Claims Associate or Advisor
This position will be based on our Vermont or Texas campus and is currently not offering relocation.
National Life Group
At National Life, do work that matters in a culture where people matter. Join a growing organization where our people have been bringing peace of mind to families and our communities for 175 years.
Claims Team
Our Claims Team is central to serving National Life Group’s ultimate mission of keeping the promises we make to our customers, and we do so with pride, compassion, and a caring heart. As National Life grows, we have an exciting opportunity to create the claims function of the future, and we’re looking for new teammates to help us explore and deliver that vision.
Claims examiners have an opportunity to intimately learn the industry products we sell and build a rewarding career in the field of insurance. At National Life Group, we also offer world-class benefits that extend beyond competitive compensation and health and retirement benefits.
Position Summary
The Life and Annuity Claims Associate or Advisor works within the Claims Team to plan, investigate and adjudicate moderately complex to complex life and annuity claims, with a level of independence, and in accordance with the contract, company policy, and state regulations. Examiners are customer facing and central to creating and delivering seamless service excellence in support of the mission of the business.
Key Responsibilities
- Evaluate and assess claims caseload of some product breadth and more complexity, including contestable claims, living benefit riders, and advanced beneficiaries
- Collect, evaluate, and interpret claim submission documentation and supporting medical records and investigative materials in a clear and concise manner to assure adherence to the contract
- Communicate claims action/processing via telephone, email, and mail with external and internal interested parties, with the ability to handle more varied customer service situations
- Manage caseload of in-process claims commensurate with experience level using effective and efficient process and time management
- Authorize appropriate payment, deny claim, or refer claim to a more senior examiner or legal counsel as appropriate
- Support other examiners and leaders with large or more complex claims
- Mentor less experienced examiners as well as co-approve claims
- Commit to professional growth and development, including taking more advanced industry courses and obtaining industry designations
Experience
- Approximately 4 – 7 years of industry experience as a Claims Examiner, preferably in Life, Annuity, Disability, Long Term Care or Health insurance
- Candidates with medical/health care administration experience will be considered
- Associate’s or bachelor’s degree preferred, but applicants of various backgrounds are encouraged to apply
Key Competencies
- Customer focus – deliver the highest standards of quality service through effective and compassionate listening, communication, and responsiveness
- Technical aptitude – carefully read and apply product contracts and procedure documents and navigate internal computer systems
- Critical thinking – apply judgment and exercise sound reasoning to make and support claim decisions
- Professionalism and work ethic – demonstrate urgency of execution, independent initiative, and ethical behavior
- Interpersonal savvy – maintain patience and composure while using diplomacy and tact in all customer interactions and to resolve situations of tension