Life Claims Analyst

Job Description

REQUIREMENTS

• Demonstrates accountability, urgency, and the ability to consistently deliver high-quality results in a fast-paced environment.
• Adapts effectively to changing priorities and diverse work environments while showing a willingness to learn new skills and multitask.
• Works independently and collaboratively within a team setting, maintaining strong interpersonal relationships and a customer-focused approach.
• Possesses excellent time management, organizational, analytical, and decision-making skills with strong attention to detail and the ability to meet deadlines.
• Communicates effectively both verbally and in writing, utilizes computer systems and Microsoft Office proficiently, and handles customer concerns and escalated situations professionally and respectfully.
• You promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.

RESPONSIBILITIES

• Evaluates and processes complex Life insurance claims by analyzing medical records, contract language, and supporting documentation to determine accurate and timely payment or denial decisions.
• Provides exceptional customer service through phone, email, and written correspondence by resolving inquiries, explaining claim determinations, and handling escalated issues professionally.
• Ensures compliance with company policies, industry standards, and federal/state regulations while maintaining high levels of accuracy, productivity, and quality.
• Collaborates with internal teams, legal, underwriting, and special investigations to support claim resolution, process improvements, training initiatives, and service delivery enhancements.
• Demonstrates strong decision-making, communication, adaptability, and relationship-building skills while maintaining a customer-first focus and contributing to team success and continuous learning.

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