Hybrid Life & Disability Claims Examiner I

Renaissance Life & Health Insurance Company of America; Indianapolis (IN); Hybrid; USD 34,000 - 36,000; Full time

Job summary

Renaissance Benefits in Indianapolis seeks an experienced Life & DI Claims Examiner I to evaluate and process group insurance claims for payment or denial according to policy terms. The role offers a hybrid schedule for local candidates.

You will review claims, collect information, determine benefits due, and communicate clearly with claimants, policyholders, and employers about status and next steps, while upholding accuracy and quality standards.

Qualifications

• Associates Degree in Business preferred.
• 2-4 years of related industry experience preferred.
• Disability and/or life insurance claims administration experience strongly preferred.
• Knowledge of ERISA regulations, statutory disability claims administration, required offsets and deductions, disability duration and medical management practices and Social Security application procedures strongly preferred.
• Basic proficiency in Microsoft Word/Office Suite required.
• Intermediate proficiency in Microsoft Excel required.
• Experience with claims management systems and electronic/paperless claims processing strongly preferred.

Responsibilities

• Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met.
• Consult with management and senior team members on complex claims.
• Communicate with claimants and employers to set expectations regarding return to work or claim status and next steps.
• Determine benefits due, make timely claims determinations, payments/approvals and adjustments.
• Investigate claims and verify information with records and policy files.

Skills

Attention to detail

Time management

Communication

Education

Associates Degree in Business

Tools

Microsoft Word

Microsoft Excel

Claims management system

Job description

Renaissance Benefits in Indianapolis seeks an experienced Life & DI Claims Examiner I to evaluate and process group insurance claims for payment or denial according to policy terms. The role offers a hybrid schedule for local candidates.

You will review claims, collect information, determine benefits due, and communicate clearly with claimants, policyholders, and employers about status and next steps, while upholding accuracy and quality standards.