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Life Claims Examiner (Temporary)

10965

We are Farmers!

Join a team of diverse professionals at Farmers to acquire skills on the job and apply your learned knowledge to future roles at Farmers. Farmers Insurance also offers extensive training opportunities through the award winning University of Farmers named by Training magazine amongst top 10 corporate training units in the world.

Job Summary

Examines and investigates increasingly complex disability, life and annuity claims. Works on contestable death, accelerated death benefit and critical illness claims. Develops skills needed to manage domestic investigations, interpret medical records and laboratory/autopsy reports. Conducts coverage analyses. Develops collaborative relationships with the Legal department, Underwriting, Policy Service and the Medical Directors office. Maintains limited approval authority and refers over-limits cases to the Senior Examiner. Engages in routine correspondence with beneficiaries, agents, medical care providers, and insureds after completing the ALHC designation and demonstrating ability to manage investigations and organize/analyze large amounts of data. Makes sound claims decisions.

Essential Job Functions

Examines/evaluates individual, group life and waiver of premium claims to determine action. Approves claims payments within specified assigned limits of authority. Corresponds with claimants, beneficiaries, agents, medical care providers and representatives/vendors to gather information for disposition of claims within limit of authority. Recommends action to Senior Examiner. Consults with Senior Life Examiner or supervisor on matters affecting payment of claims. Communicates with agents, insureds, representatives/vendors, beneficiaries, and others regarding claims questions as required. Performs other duties as assigned.

Physical Actions

Required job duties are essentially sedentary work consisting of occasional walking, standing and lifting and/or carrying 20 lbs. maximum, hearing, seeing and speaking.

Education Requirements

High school diploma or equivalent required. 

Experience Requirements

Customer service experience is preferred.

Special Skill Requirement

Good keyboard, communication, analytical and letter writing skills required.

Job Location(s): US - RW - Remote Work - Farmers

Want to learn more about our culture & opportunities? Check out farmers.com/careers and be sure to follow us on Instagram and LinkedIn!

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