人寿理赔审查员
Life Claims Examiner
加入我们的团队
2025年，美国今日报纸将Primerica连续第五年评为美国最佳工作场所之一，新闻周刊将Primerica连续第二年评为美国最具多样性的工作场所之一。2024年，亚特兰大宪报将Primerica连续第十一年评为最佳工作场所之一，福布斯连续第五年将Primerica评为美国最佳女性雇主之一。此外，这是Primerica第十次被Gwinnett Magazine评为最佳雇主。Primerica是一个很棒的工作场所！加入我们的团队，体验在“大亚特兰大地区最佳工作场所之一”的感觉。
职位简介
人寿保险审查员负责处理个人人寿索赔。审查保险覆盖资格、保单状态，要求必要的损失证明文件，确定福利资格并建议支付或拒绝索赔。
面向居住在美国任何地方的候选人，但必须在东部时间工作。
薪资范围：每年45,000 - 55,000美元
职责与要求
职责：
• 审查保险覆盖资格和保单状态，并要求必要的损失证明文件
• 进行调查，审查和评估索赔证明、医疗记录和刑事记录
• 确定福利资格并建议支付或拒绝索赔
• 审查和处理大量人寿索赔案件
• 以书面和口头方式与代理人、受益人和律师沟通
知识、技能和能力：
• 至少4年处理人寿、健康、医疗或残疾索赔的经验
• 有处理争议性人寿索赔经验者优先
• 了解既往病史、重大误述和州监管合规性
• 优秀的社交和团队建设能力
• 优秀的口头和书面沟通能力
• 优秀的判断力、研究能力和组织能力
• 能够多任务处理、优先排序并处理高工作量
• 熟练使用电脑及Microsoft Office软件
• 注重细节，能够独立和团队协作工作
FLSA状态：
该职位为非豁免（不享受加班工资）
无
我们的福利：
- 从第一天起即可享受健康、牙科和视力保险
- 具有竞争力雇主匹配的401(k)计划
- 年假、病假、节假日和志愿者带薪休假
- 人寿和残疾保险
- 灵活的支出账户
查看英文原文
Join Our Team
In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America’s Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America’s Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work! Join our team to experience what it’s like to work at “one of the best places to work in the metro Atlanta”.
About this Position
The Life Insurance Examiner adjudicates individual life claims. The Examiner reviews coverage eligibility, policy status, requests necessary proof of loss documents, determines benefit eligibility and recommends claims for payment or denial.
Open to candidates that reside anywhere in the United States but must work Eastern time zone hours.
Salary range between $45K - $55K AnnualResponsibilities & Qualifications
Responsibilities & Qualifications
Duties:
• Reviews coverage eligibility and policy status and requests necessary proof of loss documents
• Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
• Determines benefit eligibility and recommends claims for payment or denial
• Reviews and handles a high-volume caseload of Life claims
• Communicate with agents, beneficiaries and attorneys both written and verbal
Knowledge, Skills, and Abilities:
• Minimum 4 years’ experience adjudicating Life, Health, Medical or Disability Claims
• Adjudicating contestable life claims is a plus
• General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance.
• Excellent interpersonal and team building skills
• Excellent verbal and written communication skills
• Excellent judgment, research, and organizational skills
• Ability to multi-task, prioritize and handle high volumes
• Excellent PC skills and knowledge and usage of Microsoft Office
• Detailed-oriented with the ability to work well independently and with others
FLSA status:
This position is exempt (not eligible for overtime pay):
NoOur Benefits:
- Day one health, dental, and vision insurance
- 401(k) Plan with competitive employer match
- Vacation, sick, holiday and volunteer time off
- Life and disability insurance
- Flexible Spending Account & Health Savings Account
- Professional development
- Tuition reimbursement
- Company-sponsored social and philanthropy events
It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless ofrace, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.
At Primerica, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.
Originally posted on Himalayas