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Assistant Claims Examiner Jobs in Indiana (NOW HIRING)

Liberty Mutual

Senior Claims Specialist

Indianapolis, IN

$22.25 - $30.50/hr

The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to ... medical examiners. * Refers to claim to subrogation group or Special Investigations Unit as ...

South Grove Eye Care

Optometric Technician

Trafalgar, IN · On-site

$36K - $48K/yr

... * Assist with submittion of insurance claims and handle billing inquiries Required Skills ... thorough examinations and patient education. DEI Statement: South Grove Eye Care is an equal ...

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Assistant Claims Examiner information

What is an assistant claims examiner?

Assistant Claims Examiners are entry-level professionals in the insurance industry who help process and review insurance claims. They support senior claims examiners by gathering information, verifying claim details, and ensuring that all documentation is complete and accurate. Their role is crucial in determining the validity of claims and assisting in the decision-making process regarding claim approval or denial. Assistant Claims Examiners often interact with policyholders, healthcare providers, and other stakeholders to collect necessary information. They also help maintain records and ensure compliance with company policies and regulatory requirements.

What are the key skills and qualifications needed to thrive as an assistant claims examiner?

To thrive as an Assistant Claims Examiner, you need strong analytical abilities, attention to detail, and a foundational knowledge of insurance principles, often supported by a relevant associate degree or coursework. Familiarity with claims management software, databases, and document imaging systems is typically required. Excellent communication, organizational skills, and a customer service mindset help you collaborate effectively and handle sensitive information. These skills and qualities are crucial for accurately processing claims, minimizing errors, and ensuring customer satisfaction.

What are some common challenges faced by assistant claims examiners, and how can I prepare for them?

Assistant Claims Examiners often encounter challenges such as managing a high volume of claims, ensuring accuracy under tight deadlines, and interpreting complex policy language. To prepare, it’s helpful to develop strong organizational skills, attention to detail, and resilience when working under pressure. Familiarity with claims management software and continuous learning about industry regulations will also help you navigate these challenges and contribute effectively to your team.

How much do assistant claims examiners make in the US?

Assistant claims examiners in the US typically earn an average annual salary of around $40,000 to $55,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced examiners or those with specialized skills can earn higher wages.

What do I need to be an assistant claims examiner?

To become an assistant claims examiner, candidates typically need a high school diploma or equivalent, with some positions preferring an associate's degree or relevant coursework. Strong attention to detail, good communication skills, and familiarity with claims processing software are important. Some employers may require prior experience in insurance or claims handling, and on-the-job training is often provided.

What are the most commonly searched types of Claims Examiner jobs in Indiana?

The most popular types of Claims Examiner jobs in Indiana are:

What are popular job titles related to Assistant Claims Examiner jobs in Indiana?

For Assistant Claims Examiner jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Assistant Claims Examiner jobs in Indiana look for?

The top searched job categories for Assistant Claims Examiner jobs in Indiana are:

What cities in Indiana are hiring for Assistant Claims Examiner jobs?

Cities in Indiana with the most Assistant Claims Examiner job openings:

Assistant Claims Examiner jobs near you

Life & DI Claims Examiner II

Indianapolis, IN • Remote

Renaissance Life and Health Insurance Company of America
Insurance Services • 201 - 500 employees
Learn more about Renaissance Life and Health Insurance Company of Americaexternal

$27 - $29/hr

Full-time

Posted 5 days ago

Job description

Job Title:

Life & DI Claims Examiner II

Number of Positions:

1

Location:

Indianapolis, IN

Location Specifics:

Fully Remote

Job Summary:

Renaissance Benefits is seeking an experienced Life and Disability Claims Examiner to join our growing team!

At Renaissance, the Life & DI Claims Examiner II is responsible for evaluating and processing group insurance claims for payment or denial according to the terms and conditions of each policy. In addition, the Life & DI Claims Examiner II is responsible for handling more complex processing issues such as long-term disability claims, provide backup and processing support for team members and assist with department projects as needed.

What will this role entail?

  • Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met. Contact group policyholders, beneficiaries or other third parties for missing information.

  • Consult with other professionals, such as management, senior team members, and other available resources, on complex claims.

  • Communicates with the claimants and employers to set expectations regarding return to work or claim status and next steps. Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.

  • Determines benefits due, makes timely claims determinations, payments/approvals and adjustments

  • Investigate claims. Search database to obtain background information and interview claimants and witnesses. Consult police, hospital records and policy files to verify information reported in a claim.

  • Calculate and authorize the appropriate payment for claim or refer to manager for additional review.

  • Focus predominantly on long-term disability claims processing.

  • Assist in handling claims with suspected fraudulent or criminal activity. Access personal information and past claims histories to establish whether a claimant has ever attempted insurance fraud.

  • Answer verbal and written inquires and customer service queued calls on Group claims from insureds, group policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff.

  • Respond to requests for information or return calls within established service guidelines.

  • Adheres to determined quality standards for the handling of calls and written inquiries.

  • Other duties and responsibilities as needed or assigned.

Minimum Requirements:

  • Associate's degree in business required, bachelor's degree preferred

  • 2-4 years of related industry experience preferred

  • Disability and/or life insurance claims administration experience strongly preferred

  • Knowledge of ERISA regulations, statutory disability claims administration, required offsets and deductions, disability duration and medical management practices and Social Security application procedures strongly preferred

  • Basic proficiency in Microsoft Word/Office Suite required

  • Intermediate proficiency in Microsoft Excel required

  • Experience with claims management systems and electronic/paperless claims processing strongly preferred.

  • Ability to perform work accurately and thoroughly

  • Ability to pay close attention to detail

  • Ability to prioritize and organize a heavy workload

Pay Range: $27.00-29.00/hour

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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