Job Description Claims / Claim Examiner

Claims


Claim Examiner
Kansas City Life Insurance Company, a recognized leader in the insurance industry, is seeking an energetic, self-motivated individual to join our Claims department. The ideal candidate would meet the following requirements:
    QUALIFICATIONS/REQUIREMENTS:
  • Bachelor of Arts or Sciences degree in business field, related field, or equivalent work experience
  • 2 or more years practical insurance claim payment experience or Customer Service experience
  • Analytical, detail oriented and accurate.
  • General knowledge of accounting principles.
  • Effective communication skills to explain the facts and logic used to arrive at decisions in a way that the customer understands.
  • Written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
  • Personal computer skills including use of MS Office Suite products
  • Regular and reliable attendance and punctuality is an essential function of this position.
    DUTIES/RESPONSIBILITIES:
  • Analyze claims and determine validity based on policy provisions, riders, waivers, operating procedure, and state regulations; determine whether additional data is necessary; calculate the benefits payable and any interest due; ensure that valid claims are reviewed and paid in a prompt and equitable manner or decline payment of benefits when loss is not covered under the terms and provisions of the policy. The maximum claim authority per file is $5250.00.
  • Provide superior customer service to claimants or their representatives through written correspondence, telephone, and face-to-face contact in a courteous, tactful, and appropriate manner. Prepare tax forms, state notice forms, and state consent forms when applicable.
  • Request reinsurance reimbursements and closely monitor outstanding reimbursement and request any payments due.
  • Compile and communicate production reports as directed by Department Manager
  • Perform other duties as assigned by manager.
Kansas City Life Insurance Company
ATTN: Human Resources Department
3520 Broadway
P.O. Box 219139
Kansas City, MO 64121-9139
EOE/MFVH
e-mail:[email protected]

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