Remote Life Insurance Claims Examiner

Naukri Mitra; EE. UU.; A distancia; USD 60.000 - 73.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401(k) with employer match

Paid time off

Descripción de la vacante

Naukri Mitra seeks a Remote Life Insurance Claims Examiner to review life insurance claims, death certificates, medical records, and policy details with precision and empathy. You will determine outcomes, communicate decisions, and collaborate with underwriting and fraud teams in a fully remote environment.

You’ll handle high-volume claims, maintain audit-ready digital records, and contribute to process improvements while upholding regulatory and company standards.

Formación

• Bachelor's degree in insurance, healthcare administration, business, or related field.
• Minimum 2 years evaluating life insurance or healthcare claims.
• Proficiency in digital claims platforms and documentation workflows.
• Strong judgment in interpreting policy language and identifying red flags.
• Exceptional analytical and critical thinking skills.
• Clear, professional communication in written and verbal formats.
• Ability to remain composed and compassionate in sensitive interactions.

Responsabilidades

• Analyzing and adjudicating life insurance claims, review death certificates, medical records, and policy details to assess validity.
• Communicate decisions and timelines to beneficiaries, policyholders, and internal teams.
• Collaborate with underwriting, legal, and fraud investigation teams when needed.
• Ensure timely processing within regulatory and company timeframes.
• Document and report trends, anomalies, and workload distribution.

Conocimientos

Analytical thinking

Communication

Attention to detail

Remote work multitasking

Educación

Bachelor's degree in insurance, healthcare administration, business

Herramientas

Digital claims platforms

Documentation workflows

Descripción del empleo

Remote Life Insurance Claims Examiner Join a Mission That Makes a Difference Are you ready to take on a pivotal role where precision, empathy, and analytical thinking converge? As a Remote Life Insurance Claims Examiner, you can protect families during some of the most critical moments of their lives. This position combines meaningful work with flexible remote capabilities, allowing you to thrive professionally while contributing to a greater purpose. We're looking for detail-driven professionals passionate about accuracy and service, who find fulfillment in helping others navigate life-changing situations.

What You'll Be Doing

Analyzing and Adjudicating Claims

Carefully review submitted life insurance claims, death certificates, medical records, and policy details to assess validity. Determine claim outcomes based on terms of coverage, benefit eligibility, and proper documentation. Investigate inconsistencies or gaps in information and request additional documentation as necessary. Evaluate accidental death claims, contestable claims, and claims under review for fraud or misrepresentation.

Communicating with Stakeholders

Maintain regular, empathetic communication with beneficiaries, policyholders, and internal teams. Explain claim decisions, payment timelines, and any required actions. Collaborate with underwriting, legal, and fraud investigation teams when complex evaluations arise.

Managing Timely Claims Processing

Ensure all claims are processed accurately within regulatory and company-defined timeframes. Prioritize tasks in a high-volume environment without compromising attention to detail. Identify process improvements that can enhance claim cycle times or customer experience.

Documenting and Reporting

Maintain organized, up-to-date digital records for each claim, ensuring audit readiness. Generate internal reports reflecting claim trends, anomalies, and workload distribution. Use compliance tools and standardized systems for workflow tracking.

Our Work Culture

Fully Remote, Fully Connected

We believe great work happens anywhere. Our fully remote setup is supported by robust tools that keep you engaged, productive, and aligned with your team. With cloud-based platforms, real-time collaboration tools, and structured virtual onboarding, you'll feel supported every step.

People First Environment

You'll join a team that values respect, transparency, and shared success. We support ongoing development and strive to foster a sense of belonging through virtual wellness events, open-door leadership policies, and collaborative team rituals. Your contributions will be recognized and valued at every level.

Flexibility and Balance

With flexible working hours and a focus on well-being, you’ll find the autonomy to structure your day and maintain a sustainable work‑life rhythm. We respect your commitments and encourage setting healthy boundaries, ensuring you're energized for work and life.

Tools and Technology

• Secure cloud-based claims management systems (CMS)
• Document analysis and automation tools
• Workflow automation dashboards
• Compliance monitoring software
• Internal communication platforms like Slack and Zoom
• Data reporting tools to assist in evaluating claims history and patterns

What Sets You Up for Success

Core Qualifications

• Bachelor's degree in insurance, healthcare administration, business, or a related field
• Minimum 2 years of experience evaluating life insurance or healthcare claims
• Proficiency in digital claims platforms and documentation workflows
• Strong judgment in interpreting policy language and identifying red flags
• Key Competencies Exceptional analytical and critical thinking skills
• Clear, professional communication in both written and verbal formats
• Ability to remain composed and compassionate in sensitive interactions
• An organized and efficient approach to multitasking in a remote setup

Preferred Attributes

• Certified Claims Professional (CCP) or similar industry credential
• Prior experience with remote claims analysis and digital records management
• Familiarity with industry regulatory compliance (e.g., HIPAA, SOX, DOL regulations)

Compensation and Benefits

This remote role offers a competitive annual salary of $66,253 and includes a comprehensive benefits package:

• Health, dental, and vision insurance
• Paid time off and holidays
• 401(k) with employer match
• Annual performance-based bonuses
• Wellness stipends and remote office reimbursements
• Learning and development allowances for continued professional growth

Growth and Development

We believe in nurturing potential. You’ll have access to professional development programs, cross-functional training, and mentorship opportunities that support your career advancement. Whether you aim to grow into a leadership role or specialize in advanced fraud evaluation, we’re committed to your progression. You’ll also be invited to participate in quarterly virtual summits and skill-building workshops designed to expand your knowledge in emerging trends across insurance, data compliance, and digital transformation in claims processing.

Why This Role Matters

Every claim you evaluate is a life moment. You’re not just examining paperwork; you’re offering peace of mind to families when they need it most. Ensuring integrity and efficiency in our claims processes makes you a critical part of our commitment to delivering value and dignity through life insurance. Your work upholds trust, accelerates healing, and ensures fairness. As a Remote Life Insurance Claims Examiner, you will guard that trust, balancing policy accountability with human compassion.

Building a Global Workforce: Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.