Sr. DI Claims Examiner

United StatesRemoteNormalsenior

Finance & AccountingClaims Adjuster

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Quick Summary

Key Responsibilities

Evaluates and authorizes disposition of complex claims. Obtains and analyzes medical records and financial documents. Initiates and monitors medical reviews, independent medical examinations,

Technical Tools

Finance & AccountingClaims Adjuster

This position is remote (within the U.S.A. and preferably in the Eastern or Central time zone) and does not require regular in-office presence.

Responsibilities

~1 min read

→Evaluates and authorizes disposition of complex claims.
→Obtains and analyzes medical records and financial documents.
→Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews.
→Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer.
→Interacts with and requests formal written opinions from Legal and Medical/Underwriting departments.
→Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates.
→Performs all claims processing support functions.

Bachelor’s degree or equivalent experience is required.
1-3 years of related experience is required.
Experience working with DI or life insurance is preferred.

What We Offer

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Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we’re committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.

Application Deadline
This position will be open for a minimum of 3 business days or until filled.

This position is not open to individuals who are temporarily authorized to work in the U.S.