Senior DI Claims Examiner - Remote USA Position-Ameritas HQ is Lincoln, NE

Ameritas; Lincoln (NE); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking insurance provider dedicated to fulfilling lives through trusted financial products and services. As a Sr DI Claims Examiner, you'll leverage your expertise to evaluate and adjudicate claims while ensuring compliance with state and federal laws. This remote position offers the flexibility to work independently while influencing operational targets and customer retention. Enjoy a vibrant culture with great benefits, including a competitive pay structure, professional development programs, and generous paid time off. If you're looking for a meaningful mission and a supportive environment, this opportunity is perfect for you.

Benefits

401(k) Retirement Plan with company match

Tuition Reimbursement

Incentive Program Bonuses

Medical, Dental, Vision benefits

Health Savings Account (HSA)

Paid time off (PTO)

Thrive Days - Personal time off

Generous paid maternity and paternity leave

Paid volunteer time - 8 hours per month

Fertility, surrogacy, and adoption assistance

Qualifications

• 1-3 years of experience in claims examination or related field required.
• Strong analytical skills and attention to detail are essential.

Responsibilities

• Evaluate and authorize complex claims dispositions.
• Obtain and analyze medical records and financial documents.
• Correspond with policyholders, attorneys, and medical facilities.

Skills

Claims Evaluation

Medical Record Analysis

Financial Document Analysis

Decision Making

Communication

Education

Bachelor's Degree

Job description

Job Description

Position Description:

The Sr DI Claims Examiner uses strong subject matter knowledge to evaluate, analyze, and adjudicate claims in compliance with state and federal laws while providing timely and accurate service to clients. The incumbent works independently and influences others to achieve operational targets and customer retention.

At Ameritas, our mission is Fulfilling Life. We do that in many ways, but especially by helping people invest in themselves by offering trusted financial products and advice. Because we believe everyone should be happy, healthy and financially secure, we work hard to provide trusted financial products and valued guidance, including individual life and disability insurance, employee benefits, retirement planning, investments, and wealth management services.

Position Location:

• This position is remote and does not require regular in-office presence.

What you do:

• Evaluates and authorizes disposition of complex claims.
• Obtains and analyzes medical records and financial documents.
• Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews.
• Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer.
• Interacts with and requests formal written opinions from Legal and Medical/Underwriting departments.
• Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates.
• Assists with recoveries from reinsurance carriers.
• Performs all claims processing support functions.
• Additional duties as required.

What you bring:

• Bachelor's Degree or equivalent experience required.
• 1-3 years related experience.

What we offer:

A meaningful mission. Great benefits. A vibrant culture

Ameritas is an insurance, financial services and employee benefits provider. Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.

At Ameritas, you'll find energizing work challenges, flexible hybrid work options, time for family and community. Benefits at Ameritas include:

• For your money:
• 401(k) Retirement Plan with company match and quarterly contribution
• Tuition Reimbursement and Assistance
• Incentive Program Bonuses
• Competitive Pay

• For your time:
• Thrive Days - Personal time off
• Paid time off (PTO)

• For your health and well-being:
• Medical, Dental, Vision benefits
• Health Savings Account (HSA) with employer contribution
• Well-being programs with financial rewards
• Employee assistance program (EAP)

• For your professional growth:
• Professional development programs
• Leadership development programs
• Employee resource groups
• StrengthsFinder Program

• For your community:
• Matching donations program
• Paid volunteer time - 8 hours per month

• For your family:
• Generous paid maternity and paternity leave
• Fertility, surrogacy, and adoption assistance
• Backup child, elder, and pet care support

Equal Opportunity Employer

Ameritas is committed to an inclusive culture and diverse workplace, hiring based on qualifications, positive attitude, and work ethic, regardless of protected characteristics.