Disability Claims Examiner | Claims Processing

Security Mutual Life Insurance; Houston (TX); Hybrid; USD 30,000 - 36,000; Full time

Job summary

Security Mutual Life Insurance is seeking an Associate Claims Examiner or Claims Examiner to manage all aspects of the claim process for assigned cases, from intake to resolution. The role includes processing claims for payment or denial, guiding beneficiaries through the process, and maintaining accurate records.

The position may offer telecommuting with eligibility for the Greater Houston or Greater Binghamton area; candidates should expect a collaborative environment with strict regulatory

Qualifications

• 2-3 years of related experience required.
• 1-2 years life insurance experience required.
• Experience in a customer service or insurance industry environment required.
• Familiarity with medical terminology and Company products is strongly preferred.
• Intermediate experience with Microsoft Excel required.
• Basic experience with Microsoft Word required.
• Industry recognized certifications preferred.

Responsibilities

• Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met.
• Contact policyholders, beneficiaries or other third parties for missing information when required. Process claims for payment or denial.
• Participate in rotational, scheduled queue call handling and dedicated client telephone calls.
• Reply to basic inquiries and assist callers in understanding claims requirements and decisions.
• Process assigned claims through claims processing systems and input data/payments.
• Prepare claims documents for imaging and ensure accuracy for regulatory/file maintenance.
• Follow-up on outstanding requirements to comply with regulations and internal standards.
• Assist with claims account reconciliation and provide back-up support to staff.

Job description

Security Mutual Life Insurance is seeking an Associate Claims Examiner or Claims Examiner to manage all aspects of the claim process for assigned cases, from intake to resolution. The role includes processing claims for payment or denial, guiding beneficiaries through the process, and maintaining accurate records.

The position may offer telecommuting with eligibility for the Greater Houston or Greater Binghamton area; candidates should expect a collaborative environment with strict regulatory