Contestable Life Claims Analyst
Globe Life Inc.

Job Info

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Remote Contestable Life Claims Analyst

Globe Life is seeking an experienced and self-motivated Contestable Life Claims Analyst to join their growing team in the Examiners Life GLB department.

We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short - term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.

This is a full time remote opportunity offering a flex work schedule.

Come join our team!

JOB SUMMARY
The Contestable Analyst reviews all aspects of a contestable claim and determines how to process. High exposure to a multitude of life claims is a norm for this position. An analyst needs to be able to identify claim benefits in regards to the specific policy and operates on multiple claims systems. Life Claims are received from medical reviewers, underwriting, examiners or mail clerks. The Analyst has a checklist of items to review before the claim can progress for contesting. Some of these items include performing a name search to see if the insured has additional coverage, reinstating a policy if it has already been removed from the system, requesting various types of letters, reviewing application date versus effective date of policy, reviewing Medical Information Bureau reports, requesting recordings of contact with insured, ordering medical records, and reviewing medical records. The Contestable Analyst also determines if certain policies should be investigated by external third parties. Once the Analyst makes a claim determination, they forward the claim onto the examiner, supervisory, or manager. A Contestable Analyst is responsible for keeping a claim moving through the processing procedures to finalization and will forward problem claims to the appropriate SME. Contestable Analysts are in contact with agents, funeral homes, coroners, medical providers, and police departments to gather and confirm information in regards to the claim.

PRIMARY DUTIES & RESPONSIBILITIES
• Investigates all [contestable] life claims and processes in accordance with policy provisions and Company procedures.
• Processes claims on a multiple claims system.
• Contacts outside 3rd parties and obtains additional claim information needed. Third parties consist of agents, beneficiaries, funeral homes, coroners, medical providers and policy departments.
• Updates system notes with claim progress.
• Orders and reviews medical information.
• Provides updates to beneficiary regarding claim progress.
• Responsible for claim movement and progression.
• Maintains production data and must meet the production quota set by the department.
• Other duties; as assigned by the supervisor.

This job has expired.