Life Claims Evaluator: Fair, Timely Decisions

Physicians Mutual Insurance Company, Inc.; Omaha (NE); On-site; USD 48,000 - 66,000; Full time

Job summary

Physicians Mutual Insurance Company, Inc. is seeking a Life Claims Examiner to join our Claims team.

The role involves reviewing life insurance claims by analyzing policy provisions, death certificates, and supporting documentation to determine accurate claim outcomes. You will communicate with beneficiaries and other parties, ensure compliance with state regulations, and make timely payment or denial decisions.

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.

Responsibilities

• Communicate with beneficiaries, providers and other involved parties.
• Analyze life insurance policy benefits and provisions, death certificates and other related correspondence.
• Evaluate all information received and follow state regulations to make proper payment or reject decision.

Skills

Communication skills

Policy interpretation

PC proficiency

Analytical thinking

Math basics

Written communication

Verbal communication

Decision making

Organization

Production environment

Quick learner

Problem solving

Education

High school diploma

Tools

PC software

Job description

Physicians Mutual Insurance Company, Inc. is seeking a Life Claims Examiner to join our Claims team.

The role involves reviewing life insurance claims by analyzing policy provisions, death certificates, and supporting documentation to determine accurate claim outcomes. You will communicate with beneficiaries and other parties, ensure compliance with state regulations, and make timely payment or denial decisions.