Claims Examiner

Resolution Life; Washington; Hybrid; USD 40,000 - 55,000; Full time

Job summary

Resolution Life is seeking a Claims Examiner to join our US team. You will examine disability, life and annuity claims, perform coverage analysis, and prepare clear correspondence for clients and agents.

This role emphasizes accuracy, empathy, and timely decision making in a remote work setting. Working in a collaborative environment, you will monitor claims in our workflow system, maintain records, and share knowledge about claims with stakeholders.

Qualifications

• Excellent verbal and written communication to explain contract language and claims procedures
• Effective customer service skills to assist agents and beneficiaries
• Proven analytical and problem-solving abilities with attention to detail
• Ability to multi-task and Prioritize workload within a workflow environment
• Proficiency with the Microsoft Office Suite

Responsibilities

• Set up new claims and prepare clear correspondence
• Examine and investigate disability, life and annuity claims with coverage analysis
• Write professional correspondence to internal and external customers
• Monitor claims through the workflow system to keep them moving
• Maintain accurate records, files and databases of claims
• Provide stakeholders with information and training about claims
• Assign less-complex claims to entry-level or trainee examiners as appropriate
• Build and maintain excellent working relationships and solve problems as part of a collaborative team
• Take on other projects and duties as needed

Skills

Verbal and written communication

Customer service

Analytical and problem-solving

Multi-tasking

Microsoft Office proficiency

Education

High school diploma or equivalent

Tools

Microsoft Office Suite

Job description

Resolution Life is looking for a Claims Examiner to join our team. In this role, you will examine and investigate disability, life and annuity claims within a defined approval authority, helping ensure customers and beneficiaries receive accurate, timely and compassionate service. Your work may include contestable death, accelerated death benefit, waiver of premium, unclaimed property and critical illness claims, and you will research and advise on matters such as beneficiary designations, absolute assignments, estate documents, guardianship of minors, small estate affidavits and divorce statutes. If you enjoy investigative work, solving problems and making a real difference for people during important moments, we would love to hear from you.

What You Will Do

• Set up new claims and prepare clear correspondence
• Examine and investigate disability, life and annuity claims, including coverage analysis
• Write professional correspondence to internal and external customers
• Monitor claims through our workflow system to keep them moving
• Maintain accurate records, files and databases of claims
• Provide stakeholders with information and training about claims
• Assign less-complex claims to entry-level or trainee examiners, as appropriate
• Build and maintain excellent working relationships and solve problems as part of a collaborative team
• Take on other projects and duties as needed

What You Will Bring

• A high school diploma or equivalent
• Excellent verbal and written communication skills, with the ability to explain contract language and claims procedures to agents and beneficiaries
• Effective customer service skills
• Proven analytical and problem-solving skills with strong attention to detail
• The ability to multi-task and prioritize your workload in a workflow environment
• Proficiency with the Microsoft Office Suite

Working Conditions

• Prolonged periods of sitting at a desk and working on a computer

Location: Remote

Resolution Life US is committed to disclosing a reasonable estimate of the base salary for our job roles. These estimates consider a wide range of factors in making base salary decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. In addition to salary, Resolution Life US offers a comprehensive benefits package, including our health & wellness program, incentive and recognition programs, and 401k contribution (all benefits are subject to eligibility requirements). The salary range reflects figures based on the primary location, which is listed first. The range for the role may differ based on the location. $40,000 - $55,000

Critical Skills

• Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
• Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution.
• Team Mentality: Partnering effectively to drive our culture and execute on our common goals.
• Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions.
• Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.