Junior Life Claims Examiner — Launch Your Claims Career

Ullico; Bethesda (MD); On-site; USD 51,000 - 64,000; Full time

Benefits offered by this job

Health/Dental/Vision

Pension

401K

Health Savings Account

Life Insurance

Paid Time Off

Job summary

Ullico is seeking a Jr. Claims Examiner for our Bethesda, MD office to review, register and process Group Life claims using automated systems. The role involves researching information, handling inquiries, and ensuring accurate claim determinations in a timely manner.

The position requires a high school diploma and about 18 months of administrative experience, preferably in an insurance setting, with strong communication skills and proficiency in Microsoft Office.

Qualifications

• High School Diploma or equivalent.
• Eighteen months’ administrative experience, preferably in an insurance environment.
• Familiarity with contract language and interpretation preferred.
• Demonstrate good oral and written communication skills.
• Must meet productivity and error ratio standards.
• Knowledge of Microsoft Office products.

Responsibilities

• Review and register all incoming claims on-line using the Group Administration claim system.
• Request additional information as needed on incomplete claims forms.
• Forward claims to Life Claims Specialist for processing that are over dollar limit and/or assigned by benefit type.
• Research and correct missing or erroneous information reported on 1099's and B-Notices and the Paid and Pending reports.
• Update systems with the correct information.
• Assist Life Claims Specialist by filing source documents.
• Handle telephone inquiries, internal and external, for status questions and for questions regarding claims handled by this position.
• Telephone calls, internal and/or external, may be recorded and retained electronically, specific to the department’s scope of services.
• Review and log all incoming mail. Prepare and maintain all file correspondence.
• Process Group Life claims - Life, Accidental Death, Dismemberment, Waivers and Survivor Income Claims using automated claims system.
• Bring claims to satisfactory conclusion to include verifying eligibility using various source documents reviewing policy provisions, initiating written and/or telephone inquiries to client.
• Final determination of releasing claims benefit payment or denial letter is entered into the system.
• Perform other job-related duties as assigned.

Skills

Administrative experience

Communication skills

Productivity and accuracy

Contract language knowledge

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Ullico is seeking a Jr. Claims Examiner for our Bethesda, MD office to review, register and process Group Life claims using automated systems. The role involves researching information, handling inquiries, and ensuring accurate claim determinations in a timely manner.

The position requires a high school diploma and about 18 months of administrative experience, preferably in an insurance setting, with strong communication skills and proficiency in Microsoft Office.