Life Claims Examiner 2

Primerica; United States; Remote; USD 45,000 - 55,000; Full time

Job summary

An established industry player is seeking a skilled Life Insurance Examiner to join their dynamic team. In this pivotal role, you will adjudicate individual life claims, ensuring eligibility and compliance while managing a high-volume caseload. Your expertise in claims investigation and communication will be essential as you collaborate with agents and beneficiaries. This position offers a supportive work environment with a strong commitment to diversity and inclusion, along with comprehensive benefits starting from day one. If you have a passion for helping others and a keen eye for detail, this opportunity is perfect for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Vacation Time

Sick Leave

Professional Development

Tuition Reimbursement

Company-sponsored Events

Qualifications

• Minimum 4 years’ experience adjudicating Life, Health, Medical or Disability Claims.
• Excellent judgment, research, and organizational skills required.

Responsibilities

• Reviews coverage eligibility and policy status for life claims.
• Communicates with agents, beneficiaries, and attorneys regarding claims.
• Handles high-volume caseload of life claims efficiently.

Skills

Adjudicating Life Claims

Interpersonal Skills

Verbal Communication

Written Communication

Organizational Skills

Microsoft Office

Multi-tasking

Tools

Microsoft Office

Job description

Join Our Team

In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America’s Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America’s Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work!

About this Position

The Life Insurance Examiner 2 adjudicates individual life claims. The Examiner reviews coverage eligibility, policy status, requests necessary proof of loss documents, determines benefit eligibility and recommends claims for payment or denial.

Open to candidates that reside anywhere in the United States but must work Eastern time zone hours.

Salary Range: $45K - $55K

Responsibilities & Qualifications

Duties:

• Reviews coverage eligibility and policy status and requests necessary proof of loss documents
• Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
• Determines benefit eligibility and recommends claims for payment or denial
• Reviews and handles a high-volume caseload of Life claims
• Communicates with agents, beneficiaries and attorneys both written and verbal

Knowledge, Skills, and Abilities:

• Minimum 4 years’ experience adjudicating Life, Health, Medical or Disability Claims
• Adjudicating contestable life claims is a plus
• General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance.
• Excellent interpersonal and team building skills
• Excellent verbal and written communication skills
• Excellent judgment, research, and organizational skills
• Ability to multi-task, prioritize and handle high volumes
• Excellent PC skills and knowledge and usage of Microsoft Office
• Detail-oriented with the ability to work well independently and with others

FLSA status:
This position is exempt (not eligible for overtime pay)

Our Benefits:

• Day one health, dental, and vision insurance
• 401(k) Plan with competitive employer match
• Vacation, sick, holiday and volunteer time off
• Life and disability insurance
• Flexible Spending Account & Health Savings Account
• Professional development
• Tuition reimbursement
• Company-sponsored social and philanthropy events

It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.

At Primerica, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.