Accounting, Annuities, Change Requests/Orders, Communication Skills, Computer Skills, Corporate Policies, Customer Support/Service, Data Collection, Data Entry, Detail Oriented, Establish Priorities, High School Diploma, Insurance Claims, Interpersonal Skills, Life Insurance, Mail Services, Maintain Compliance, Mathematics, Medical Records, Microsoft Excel, Microsoft Word, Multitasking, Organizational Skills, Payment Processing, Presentation/Verbal Skills, Reimbursement, Reinsurance, Scripting (Scripting Languages), State Laws and Regulations, Team Lead/Manager, Time Management, Writing Skills
Job Title: Claims Examiner-Contestable
Location: GPM Life Insurance, San Antonio, TX
Working Conditions: In-Office, (NOT remote)
Job Type: Full-Time
ABOUT GPM LIFE INSURANCE
GPM Life is a Northeast San Antonio based life insurance company with an emphasis on providing excellent customer service to policyholders/customers, agents, and the GPM Life team.
GPM Life offers a competitive benefits package including medical, dental, vision, group life insurance, and a 401(k) plan with a company match.
GPM Life employees work 39 hours/week Monday through Friday. (Friday-employees work 5 hours.)
REQUIRED SKILLS
- Strong computer skills to include Word and Excel.
- Proficiency in math or accounting.
- Excellent verbal and written communication skills.
- Must be able to show empathy to customers.
- Must interact well with others.
- Must be able to work in a fast-paced environment.
- Ability to prioritize and multi-task.
ABOUT THE POSITION
This Jr. Claims Examiner-Contestable is responsible for the review, processing, and payment of life insurance death claims or annuity death claims for policies that were issued less than two (2) years ago. The Examiner is responsible for ensuring compliance with company policies and state laws.
Job duties/responsibilities:
- Set up contestable death claims for GPM Life, GPM H&L, and Accelerated Living Benefit Rider (ALBR) claims.
- Performs investigation on all contestable life and Accelerated Living Benefit Rider (ALBR) claims to include requests of all medical records that pre-date the application, requests MIB, script check, and criminal records.
- Requests reinsurance reimbursement on the appropriate Death Claim files. Prepares necessary forms, follows up on reinsurance payment, submits payment to Accounting and prepares accounting entries. Updates Excel spreadsheet/files for claim logs.
- Receives and handles telephone calls from agents, policyholders, beneficiaries, funeral homes, and vendors/providers for pending death claims. Assists the beneficiary with the handling of requests for change of beneficiary, owner, change of name, or change of premium information on cross referenced policies.
- Searches for possible claims through the various state locator services
- Assists with handling of returned Customer Service mail which could result in possible death claims.
- Assists in locating deceased insureds and family members as a result of matches through Social Security Death Master List.
- Reports directly to Sr Claims Examiner/Team Leader and Vice President-Claims and Records and assists in various miscellaneous duties, including preparing internal and external reports, gathering information for studies, and other special projects as assigned.
- Performs other duties as assigned.
CANDIDATES SHOULD HAVE
- Proficient computer skills including Word and Excel experience.
- Strict attention to detail in all work completed.
- Strict adherence to confidentiality and privacy rules is required.
- Effective communication and customer service skills.
- Time management and organizational skills.
- Great people skills.
- Professional demeanor.
EDUCATION AND EXPERIENCE:
- High School or equivalent.
- Experience in a life insurance environment preferred.
- Must have accurate data entry skills.
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GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY