Senior Disability Claims Examiner — Remote (US)

Ameritas; Lincoln (NE); Remote; USD 34,000 - 55,000; Full time

Job summary

Ameritas Sr. DI Claims Examiner is a remote role in the U.S.A. preferably in the Eastern or Central time zones.

The position requires evaluating and authorizing disposition of complex claims, and coordinating with policyholders, medical facilities, and attorneys to gather medical records and financial documents. The ideal candidate has a Bachelor's degree or equivalent experience and 1-3 years of related experience, with DI or life insurance experience preferred.

Qualifications

• Bachelor's degree or equivalent experience is required.
• 1-3 years of related experience is required.
• Experience working with DI or life insurance is preferred.

Responsibilities

• 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.
• Performs all claims processing support functions.

Skills

Claims processing

DI knowledge

Collaboration with teams

Education

Bachelor's degree or equivalent experience

Job description

Ameritas Sr. DI Claims Examiner is a remote role in the U.S.A. preferably in the Eastern or Central time zones.

The position requires evaluating and authorizing disposition of complex claims, and coordinating with policyholders, medical facilities, and attorneys to gather medical records and financial documents. The ideal candidate has a Bachelor's degree or equivalent experience and 1-3 years of related experience, with DI or life insurance experience preferred.