Remote Senior Claims Examiner - Complex Life Claims

Banner Life family of companies

Urbana (MD)

Remote

USD 81,000 - 110,000

Full time

4 days ago
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Job summary

Banner Life Insurance Company is seeking a Claims Examiner to independently adjudicate complex and higher‑risk life and health claims, including contestable matters, with advanced contractual analysis. You will provide technical guidance, coordinate with underwriting, legal, and compliance teams, and present matters requiring approval to management.

The role requires strong analytical skills, excellent communication, and the ability to manage claims within delegated authority while ensuring

Qualifications

  • Bachelor’s degree or equivalent; advanced insurance education preferred.
  • ALMI/ACS or comparable coursework is preferred.
  • ALHC or comparable claims credential preferred.
  • Advanced knowledge of life insurance contracts and claims procedures required.

Responsibilities

  • Independently adjudicate complex and higher‑risk life and health claims within delegated authority.
  • Provide technical guidance to Claims Representatives and management as needed.
  • Document analyses and recommendations clearly in the claim file and coordinate with internal partners.

Skills

Complex claims
Analytical
Communication
Documentation
Negotiation

Education

Bachelor’s degree or equivalent
ALMI/ACS or comparable coursework
ALHC or comparable credential

Tools

MS Word & Excel

Job description

Banner Life Insurance Company is seeking a Claims Examiner to independently adjudicate complex and higher‑risk life and health claims, including contestable matters, with advanced contractual analysis. You will provide technical guidance, coordinate with underwriting, legal, and compliance teams, and present matters requiring approval to management.

The role requires strong analytical skills, excellent communication, and the ability to manage claims within delegated authority while ensuring

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