Investigative Claims Examiner
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Job Location:
Des Moines, IA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Summary
This position is responsible for the adjudication of contestable life and disability claims accelerated benefit
claims critical illness claims and complex incontestable life annuity and disability claim. This position does
not have direct supervisory responsibilities.
Duties and Responsibilities
- Investigate in a thorough timely and cost-effective manner all contestable life disability annuity and complex incontestable claims to determine the extent of liability and the appropriateness of payment or denial of the claim
- Process payment perform payment reviews and quality and denial of claims and rescissions of policies
- Provide leadership help build teamwork and offer mentoring to other members of the claims staff
- Handle claims escalations and provide response via phone email and/or outbound written correspondence
- May serve as conduit between team and legal and compliance department vendors and internal departments
- Perform quality audits and call monitoring document results and provide direct feedback and training to other members of the claim staff
- Maintain claim registers for accurate financial reporting of pending paid and denied claims
- Maintain complete and accurate documentation of claim files
- Support company or team initiatives either directly or indirectly.
Experience and Education Requirements
- Bachelors degree or equivalent experience required
- 3 years of experience investigating contestable life and/or disability claims
- LOMA and/or ICA coursework preferred.
Skills and Abilities
- Understands how the functional units interact with each other; recognizes business changes within coverage area and the impact
- Quickly processes information and develops solutions in real-time with practical measurable business benefits (i.e. thinks on ones feet)
- Proactively identifies opportunities to serve the customer
- Works with other colleagues and leaders deliver Operations strategy
- Reads a wide range of audiences and situations and quickly adjusts communication style accordingly; selects the appropriate communication channel and tone to deliver tough messages
- Identifies opportunities to use innovative processes
- Ability to coach and mentor colleagues on digital techniques and accelerators used at F&G
- Seeks opportunities to cultivate relationships with established contacts in their network
- Provides guidance on what information to gather to achieve business objectives and how to efficiently obtain information that is not easily available
- Seeks challenging assignments and projects
- Understands and demonstrates commitment to the departmental vision strategy change initiatives and goals
- Proactively identifies opportunities to improve department performance and escalates ideas to leadership
- Monitors measures and assesses processes to determine areas of improvement; identifies and eliminates operational waste
- Understands data and communicates the meaning to managers and executives
- Owns responsibility for timely production of deliverables
- Supports with monitoring of vendor performance; identifies and escalates issues; develops processes to maximize vendor performance
- Demonstrates ability to develop solutions in real time with practical measurable business benefits; supports long term business unit or department planning
- Maintains industry regulatory knowledge.
Other Requirements:
- Perform other functions duties and projects as assigned
- Regular and punctual attendance
- Some travel may be required (less than 10%)
#LI-JB1
#LI-Remote
Additional Information
Work Environments
F&G believes in an employee-centric flexible environment which is why we offer the ability for in-office hybrid and remote work arrangements. During the hiring process youll work with your leader to decide what works best for your role.
F&G complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities unless such accommodation would cause an undue hardship for F&G. If reasonable accommodation is needed to participate in the job application or interview process please contact
Join our employee-centric hybrid work environment: F&G Careers
About F&G
Since 1959 Fidelity & Guaranty Life Insurance Company (F&G) has offered annuity and life insurance products to those who are seeking security in retirement and protection during lifes unexpected events.
As a national Top Workplace1 an Iowa Top Workplace2 and a proud equal opportunity employer F&G team members are empowered collaborative dynamic and authentic. We believe that by embracing these values we will continue to build and strengthen the company while continuing to be a great place to work.
1Top Workplaces USA
2Des Moines Register Top Workplaces
Notice for all Applicants who are California residents under the California Privacy Rights Act. Please click here to review the policy.
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
About Company
F&G offers life insurance and annuities to help you plan and protect your future. We value collaboration, authenticity, dynamics and empowerment.
