
Life Claims Examiner
Remote · USJob$45–55K/yrPosted 5mo agoSeen in employer's feed 3 days ago
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Job overview
PRIMERICA is hiring a Life Claims Examiner. The Life Claims Examiner adjudicates individual life claims, reviewing coverage eligibility and policy status. This role involves requesting necessary proof of loss documents, determining benefit eligibility, and recommending claims for payment or denial. The examiner conducts investigations, evaluates claim proofs, medical records, and criminal records, and communicates with agents, beneficiaries, and attorneys.
Key focus areas include Review coverage eligibility and policy status, Request necessary proof of loss documents, and Conduct investigations, reviews, and evaluations of claim proofs, medical records, and criminal records.
Successful candidates bring 4+ Years Claims Adjudication. Important skills include General Knowledge Of Pre-Existing Conditions, General Knowledge Of Material Misrepresentations, State Regulatory Compliance, Interpersonal Skills, Team Building Skills, and Communication. Preferred (not required): Adjudicating Contestable Life Claims.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
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 Annual
Responsibilities & 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):
No
Our Benefits:
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Day one health, dental, and vision insurance
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401(k) Plan with competitive employer match
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Vacation, sick, holiday and volunteer time off
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Life and disability insurance
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Flexible Spending Account & Health Savings Account
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Professional development
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Tuition reimbursement
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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 of race, 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.
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