Claim Examiner - Life

Physicians Mutual; Omaha (NE); On-site; USD 52,000 - 68,000; Full time

Job summary

Physicians Mutual is seeking a Life Claims Examiner to join our Claims team in Omaha, Nebraska. You will review and evaluate life insurance claims by analyzing policy provisions, death certificates, and supporting documentation to determine accurate claim outcomes.

You’ll communicate with beneficiaries and other parties, ensure compliance with state regulations, and make timely payment or denial decisions while maintaining a high standard of quality in a production environment.

Qualifications

• High school diploma or equivalent.
• Must demonstrate strong communication skills.
• Ability to read policy contracts.
• Ability to handle complex claim situations.
• Ability to operate a PC and all applicable programs and applications.
• Must possess problem solving, decision‑making, and organizational skills.
• Ability to function effectively in a production environment with high quality work.
• Ability to learn quickly and adapt to new insurance coverages, procedures and state guidelines.
• Basic math needed to calculate benefits and interest.
• Above average written and verbal communication skills are necessary to effectively correspond with Policyowners and other interested parties.
• Ability to assess situations and apply learned concepts in complicated claim scenarios.
• Conduct a thorough investigation of correspondence received and information online, as necessary, to resolve claims.
• Diligent in managing project details.
• Prefer a minimum of 1-2 years of previous life insurance or related experience.

Responsibilities

• Responsible for communicating with beneficiaries, providers and other involved parties.
• Analyzing life insurance policy benefits and provisions, death certificates and other related correspondence.
• Evaluates all information received and follows state regulations to make proper payment or reject decision.

Skills

Strong communication

Reading policy contracts

Problem solving

Decision making

Organizational skills

Attention to detail

Learning adaptability

Basic math

Written communication

Verbal communication

Claims investigation

Production environment

Education

High school diploma

Job description

Overview

Physicians Mutual is seeking a Life Claims Examiner to join our Claims team. In this role, you will review and evaluate life insurance claims by analyzing policy provisions, death certificates, and supporting documentation to determine accurate claim outcomes. You’ll communicate with beneficiaries and other parties, ensure compliance with state regulations, and make timely payment or denial decisions.

Responsibilities

• Responsible for communicating with beneficiaries, providers and other involved parties.


• Analyzing life insurance policy benefits and provisions, death certificates and other related correspondence.


• Evaluates all information received and follows state regulations to make proper payment or reject decision.

Qualifications

• High school diploma or equivalent.


• Must demonstrate strong communication skills.


• Ability to read policy contracts.


• Ability to handle complex claim situations.


• Ability to operate a PC and all applicable programs and applications.


• Must possess problem solving, decision‑making, and organizational skills.


• Ability to function effectively in a production environment with high quality work.


• Ability to learn quickly and adapt to new insurance coverages, procedures and state guidelines.


• Basic math needed to calculate benefits and interest.


• Above average written and verbal communication skills are necessary to effectively correspond with Policyowners and other interested parties.


• Ability to assess situations and apply learned concepts in complicated claim scenarios.


• Conduct a thorough investigation of correspondence received and information online, as necessary, to resolve claims.


• Diligent in managing project details


• Prefer a minimum of 1-2 years of previous life insurance or related experience.

About Us

Health. Life. Retirement. The Physicians Mutual family empowers people from all walks of life to enjoy the financial security they deserve. That’s what Insurance for all of us® is about.

The Physicians Mutual family includes Physicians Mutual Insurance Company, Physicians Life Insurance Company and Physicians Select Insurance Company. Physicians Mutual offers reliable dental and supplemental health insurance, and pet insurance. Physicians Life provides important life insurance, Medicare Supplement insurance and coverage for funeral pre-planning. Physicians Select Insurance Company additionally offers exclusive Medicare Supplement insurance.

Since our start in 1902, our dedication to delivering on our promise has helped make us one of the nation’s leading health and life insurance providers. In fact, we are rated in the top 1% of insurance companies. We consistently maintain some of the highest financial strength ratings in the nation from independent insurance analysts, including A.M. Best Company and Weiss Ratings, ensuring we’ll be there for our policyowners and our employees far into the future.

But the achievement we’re most proud of? We have a 95% customer satisfaction rating — a true sign of a company dedicated to embodying its vision.