Remote Claims Examiner: Disability & Claims Processing

Security Mutual Life Insurance; City of Binghamton (NY); Hybrid; USD 29,000 - 33,000; Full time

Job summary

Security Mutual Life Insurance is seeking an Associate Claims Examiner or Claims Examiner in Binghamton, NY. The role involves handling all aspects of the claim process for assigned claims, guiding beneficiaries, filing for reinsurance, and providing customer service to stakeholders.

The position requires 2–3 years of related experience and 1–2 years of life insurance exposure, with proficiency in Excel and Word. Some telecommuting may be possible, with work centered in Binghamton.

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 and respond accordingly. Reply to basic inquiries and assist callers in understanding claims requirements and decisions.
• Process assigned claims through claims processing systems. Create new claims files and input claims data and payments into applicable systems as necessary.
• Process and distribute paper and electronic mail and/or faxes received including but not limited to logging data in appropriate systems and distributing to appropriate areas and/or virtual folders for processing.
• Prepare claims documents for imaging. Process must be thorough and accurate to keep within guidelines for statutory file maintenance.

Skills

Customer service

Insurance industry

Medical terminology

Excel

Word

Education

Associate’s degree in business

Tools

Sigma

E-Records

Life Support Plus

Freedom

Lotus Notes

Job description

Security Mutual Life Insurance is seeking an Associate Claims Examiner or Claims Examiner in Binghamton, NY. The role involves handling all aspects of the claim process for assigned claims, guiding beneficiaries, filing for reinsurance, and providing customer service to stakeholders.

The position requires 2–3 years of related experience and 1–2 years of life insurance exposure, with proficiency in Excel and Word. Some telecommuting may be possible, with work centered in Binghamton.