Job Bank

Job Bank

Interested in posting a job to the ICA Job Bank? As part of your ICA Membership all posts to the job bank are free and will remain on the site for 60 days!

If you're not a member of ICA there is a $250 charge to post to the website for 60 days.

Interested in becoming a member? View our member benefits and fill out an application for membership here.

Please forward posts to Kim Reed, Associate Director/Director of Meetings and Membership, at kreed@claim.org.


Posted August 23, 2017

Job Title: Disability Claim Spec / Sr. Disability Claim Spec

https://jobs-standard.icims.com/jobs/16576/sr-disability-claim-spec/job

Job Description:

If you want to make a positive difference and stand out from the crowd, you’ll fit in at The Standard (www.standard.com). Our Individual Disability Insurance business line is dynamic and fast paced; and its talented and friendly employees enjoy challenge while deriving satisfaction from providing services and products that can greatly impact the people we serve. Come join us and share our passion for serving our customers in a positively different way.

The Disability Claim Spec / Sr. Disability Claim Spec will secure and analyze claim information to make and approve appropriate claim and disability management strategies to ensure prompt and accurate disability decisions and payments on complex, high liability or more problematic types of disability claims. Provide responsive customer service to claimants (policyholders), employers, group offices and agents. Serve as a technical resource and section leader.

Responsibilities:
Contribute to the company’s success through excellent customer service and meeting or exceeding performance objectives for the following major job functions:

Develop a claim and management strategy for each claim to appropriately determine claim eligibility, contain claim liability and provide excellent customer service. On an ongoing basis investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income and expenses, insured status, including whether coverage is contestable, and other policy provisions to accurately determine eligibility for and entitlement to disability benefits within prescribed timeframes and accurate payment of benefits; Identify financial, occupational or medical discrepancies and outstanding issues and secure necessary documentation. Identify possible fraud and work closely with the SIU on investigation and evaluation. Make and communicate disability approval or adverse decisions, communicating with sensitivity to tone and content.

Respond to complex/sensitive claim and account inquiries from claimants, attorneys, claimant financial advisors, policyholders, field personnel, and other interested parties; resolve related issues through effective oral and written communication, and by involving the appropriate people within, or outside, the department or company. Act as a client contact within the department, unit and enterprise, working in partnership with Benefits, Underwriting, Sales, Legal and SIU.

Demonstrate leadership ability and skill, at times conducting review and approval of claim decisions, disability management strategies and payments recommended by less-seasoned staff; develop medical, occupational, financial and/or investigative expertise of benefit to the section and department; participate in formal and informal training for the department, section and individuals; sharing knowledge and expertise with team.

Ensure the company's reserve liability is accurately established by identifying all applicable claim offsets and maintaining accurate claim and system data. Identify reinsured claims and seek appropriate reimbursement of expenses.

Demonstrated skills: Provide appropriate and timely disability, claim, and account management and administration for complex claims. Recognize, understand and respond to complex claim and account inquiries from all interested parties in a disability claim. . Recognize, understand, and respond to situations involving potentially fraudulent activity and/or litigation, working in partnership with SIU and Legal department as appropriate.

Ability to: Understand and interpret claim evaluation material, including contract language, medical records, occupational and financial records, and legal correspondence. Develop expertise in one or several areas of benefit to the section and department. Provide effective coaching and training of others. Make decisions in the absence of specific direction. Effectively identify and prioritize critical objectives focusing on high impact components.

Working knowledge of: Contract language, underwriting and sales practices, legal aspects of claims, occupational and financial detail and documentation.

Qualifications:
Education: Degree in business, science or related field preferred, but not required if candidate has relevant work experience

Experience: Progressively responsible experience as a Disability Claim Specialist or the equivalent combination of education and/or relevant experience.

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

For more information regarding your Equal Employment Opportunity applicant rights, click here.

Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.

https://jobs-standard.icims.com/jobs/16576/sr-disability-claim-spec/job


Posted July 19, 2017

Job Title: Claims Examiner

At Ameritas, fulfilling life is what we do daily. We continuously strive to help our customers and employees enjoy life at its very best by reducing uncertainty, helping grow assets and protecting what is most cherished. We’re here to help people put worry behind and the future ahead and help enable a life that’s rich in family, happiness, health and financial security. When lives are fulfilled, our mission is fulfilled.

JOB PURPOSE:
The Claims Examiner will examine Life and Annuity claims in accordance with the Fair Claims Practices Act and in compliance with State and Federal Laws and Regulations.

Position Location: Cincinnati, OH
Title of supervisor to the position: Life Claims Manager
Titles of those reporting directly to this position: None

Essential Functions:

  • Responsible for Life and Annuity claims (both contestable and non-contestable), Accidental death, foreign deaths, homicides and DBAR claims within an authority level of $125,000.00; any claim over this amount requires review and approval by the Claims Specialist, Senior Examiner, Team Leader or the Manager.
  • Follows established Ameritas claim procedures and guidelines to conducts claim investigations and make appropriate claim decisions. Organize, plan and priority work in order to accomplish goals established for the position.
  • Requires basic knowledge and experience in claim adjudication.
  • Works effectively with the Claims Specialists, Trainer and Manager to continue developing claim handling skills and to make appropriate claim decisions.
  • Develops and maintains good rapport/communication with the field representatives, claimants, agents, claimant attorneys, reinsurers, Medical Director and the law department.
  • Develops professional and technical knowledge by attending continuing education opportunities (workshops, fraud training, claims conferences, etc.)
  • Required to participate in depositions, court appearances and negotiations regarding settlement options.
  • Participates/presents claims to the SIU.
  • Works effectively with the reinsurers
  • Utilizes vendors appropriately to conduct claims investigations.

Marginal Functions: Other functions as assigned by the Manager of the Life Claims Division.

Required Knowledge and Skills:
Education: College Degree preferred or related business background
Experience: Claims experience (2 years or more), some LOMA or ICA preferred
Special Skills or Knowledge: Excellent written and oral communications, excellent analytical, planning and organizational skills, aptitude to quickly understand the Divisional claims policies, procedures and philosophies and to gain knowledge of the Life and Annuity products and policy provisions, working knowledge of medical terminology, ability to read and interpret financial statements, computer system familiarity.

Working Conditions: Normal office environment.

We are Ameritas: proud to say we're in the business of fulfilling life. APPLY NOW - we'd like to know more about you!
Please apply using the following link: https://jobs.brassring.com/1033/ASP/TG/cim_jobdetail.asp?partnerid=26179&siteid=5142&Areq=1161BR


Posted July 14, 2017

Job Title: Account Representative - Claims opening with Munich Re, US Life

Atlanta, GA – Relocation Assistance Provided
Contact: JoBowen@munichre.com

Insurance for insurance companies. That's a simple way to describe a complex business. We're shock absorbers for our clients. Without insurance, individuals and businesses would find it difficult to recover financially when disaster strikes. Without reinsurance, insurers simply couldn't offer this peace of mind.

Are you ready to shift your career to the next level? Munich Re, US (Life) aspires to be the premier reinsurance business partner that delivers exceptional value to our clients and stakeholders. As the US-based life subsidiary of one of the world's largest reinsurance companies, we are the industry leader in delivering world-class service and solutions to many of the most recognized insurance companies around the globe. We offer a highly competitive total compensation package that rewards hard work and success.

Munich Re, US (Life) is currently seeking an Account Representative for our Claims division to work directly with clients on Individual Life complex claims.

Responsibilities:

  • Adjudicate complex, contestable claims
  • Independently conduct Underwriting, Legal and Administrative reviews and make decision recommendations to the Claims Review Committee
  • Manage litigated cases
  • Adjudicate compromise settlements
  • Review high dollar, early duration claims
  • Manage client relationships
  • Conduct claim trend analysis
  • Produce analytical business reports such as client benchmark reports, mortality study reports, etc.
  • Manage External Audit Process and lead onsite audits
  • Identify training opportunities, create training presentations and programs for employees and clients
  • Give industry presentations as required
  • Lead projects as necessary
  • Coordinate with others to create claims tools as appropriate

Qualifications:

  • 8-10 years life or living benefit claims experience required
  • 8+ years direct life and/or living benefit claims experience required
  • Bachelor’s degree preferred
  • Associate, Life & Health Claims (ALHC), Associate Reinsurance Administration (ARA), FLMI or HIAA designations preferred
  • Proven ability to effectively present to various audiences
  • Training facilitation experience strongly preferred
  • Audit experience in some capacity required
  • In-depth knowledge of direct insurance company claims operations
  • Proven ability to apply knowledge and creativity to improve processes and procedures or to resolve problems
  • Microsoft Excel and PowerPoint experience required


Posted June 2, 2017

Job Title: Disability Claim Spec

# of Openings: 1
Status: Full-Time
Location: US-OR-Portland, Open to Remote Workers
Req #: 16173

Overview:

If you want to make a positive difference and stand out from the crowd, you'll fit in at The Standard (www.standard.com). Through our retirement plans and insurance products and services, we help people achieve financial well-being and peace of mind. Come join us and share our passion for serving our customers in a positively different way.

Secure and analyze claim information to make and approve appropriate claim and disability management strategies to ensure prompt and accurate decisions and payments on disability claims, including those with increased complexity or high liability. Provide responsive customer service to claimants (policyholders) or their representative, sales offices, and agency staff.

Responsibilities:

Contribute to the company's success through excellent customer service, meeting or exceeding performance objectives for the following major job functions:

(40%)   * 1. Investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income and expenses, insured status, including whether coverage is contestable, and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits; identify whether coverage should be rescinded, seeking appropriate input from sales, underwriting, administration, SIU and legal staff.; verify financial, occupational and medical information, securing additional information and documentation as needed when discrepancies are identified, conducting evaluation and investigation within prescribed timeframes. Demonstrate accuracy in decision making and payment of benefits.

(30%)   * 2. Develop and execute a management strategy for each claim correctly identifying claim liability, ongoing and changing medical condition, vocational options, applicable policy limitations and provisions, deductible income including all sources of work earnings are investigated and used to reach timely and appropriate claim resolution and payment amount; and claims are managed to the correct payment duration.

(20%)   * 3. Respond to complex/sensitive claim and account inquiries from claimants, attorneys, financial advisors, policyholders, field personnel, and other interested parties; resolve related issues through effective oral and written communication, and by involving the appropriate people within, or outside, the department or company.

(5%)   4. Approve claim decisions, disability management strategies and payments recommended by less-experienced staff; sharing knowledge, guidance and expertise as applicable and demonstrate effective leadership within the role.

(5%)   5. Ensure the company's reserve liability is accurately established in payment systems by maintaining accurate claim and system data and identifying applicable claim offsets.

Qualifications:

ESSENTIAL FUNCTION REQUIREMENTS
Demonstrated skills: Provide appropriate and timely disability, claim, and account management and administration. Recognize, understand and respond to complex claim and account inquiries from all interested parties in a disability claim.

Ability to: Understand and interpret contract language, medical records, financial records and legal correspondence effectively drawing on the guidance and expertise of medical, financial, vocational and legal experts as necessary. Partner with other functional areas, including underwriting, sales, administration, legal and SIU. Demonstrate autonomy in decision making. Effectively identify, organize and prioritize workload responsibilities

Education: College degree preferred, but not required.

Experience: Individual Disability claim experience preferred. Equivalent experience in group disability, workers compensation, or other claim handling will be considered

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

For more information regarding your Equal Employment Opportunity applicant rights, click here.

Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.


Posted May 17, 2017

Job Title: Executive Director of Group Claims (Life, Medical and Disability) – Reinsurance Group of America, Incorporated (RGA)

Reinsurance Group of America, Incorporated (NYSE: RGA) is a leader in the global life reinsurance industry with approximately $2.9 trillion of life reinsurance in force and assets of $44.7 billion. We are one of the largest life reinsurance companies in the world.

Relocation to the Minneapolis area is required - Relocation package provided

Overview
The Executive Director of Group Claims will be responsible for leading and managing the department responsible for U.S. Group claims providing the business expertise required to ensure appropriate client service, internal controls, reporting and claims administration practices. Provides guidance for client company claims audit function. Establishes strategic plans, objectives, goals and processes to ensure claims practices are competitive, effective and protective of RGA Re's long-term success. Ensures department alignment and coordination with all other areas of the company to achieve corporate business strategies and vision. As a member of the Operations Leadership Team, contributes to the establishment of division guidelines and direction and contributes to the Operations organization through strategy, definition and implementation.

Responsibilities

  • Directs and leads the activities of the US Group claims staff, assuring thorough review of targeted claims, timely and accurate financial reporting and prompt, efficient service to client companies.
  • Directs and supports the management and direction of claim practices to ensure identification and resolution of unfavorable trends in ceding company underwriting and claims handling. Ensures claims practices and procedures are developed to minimize exposure to undesirable or unanticipated outcomes and provide superior client service.
  • Provide oversight, guidance, support and assistance to RGA's Latin America Group claims administration of reinsurance transactions. Reviews reports and other documentation produced from those audits.
  • Directs and supports the management of the Research area, supporting all group reinsurance lines of business. Ensures that project deadlines, vendor contracts, and compliance procedures meet Group Reinsurance and project objectives.
  • Assist with the strategy, planning and special events for the annual ROSE® Conference, including identifying topics and speakers. Monitors event budget and assists in negotiations for all necessary contracts.
  • Works with all departments within the US Group division and other departments within RGA Re to identify and resolve problems/issues. Develops relationships with client companies and seeks resolutions to ensure customer satisfaction.
  • Responsible for the claim functionality aspect of the Raptor administration system, working closely with the IT Team to identify, define & prioritize changes needed as well as making claim resources available for the testing and successful implementation of all new claim functionality.
  • Leads and manages the activities of department management in all aspects of supervisory duties, including, but not limited to hiring, training, evaluating, coaching, and disciplining direct reports. Fosters a positive and engaged work environment. Mentors associates and gives guidance on associate development.
  • Collaborates with all departments in the US Group division and departments throughout RGA to identify and resolve problems/issues. Develops relationships with client companies and seeks resolutions to ensure timely, accurate reporting while maintaining a high degree of customer satisfaction.
  • Participates and collaborates with other members of the US US Group leadership team to develop goals/plans/budgets that align with division and company objectives and then manages to those expectations.
  • Represents RGA Re, as an expert in reinsurance claims expertise, at industry meetings and exercises influence, as appropriate, with customers, competitors, retrocessionaires.
  • Serves as a member of the US Group Re Operations leadership team, including setting strategic and tactical direction, division goals and objectives, and development of joint plans to achieve goals and objectives. Manages department within budget guidelines.

Education and Experience
Required:

  • Bachelor's Degree or equivalent work experience in insurance/reinsurance
  • 10+ years' experience in insurance/reinsurance including 5+ years direct life, disability and/or health claim experience
  • 5+ years management experience

Preferred:

  • Graduate work, MBA, FLMI, ALHC or other relevant professional designation
  • 10+ years direct life, disability and/or health claim experience
  • 3+ years managing direct life, disability and/or health claims staff

Skills and Abilities
Required:

  • Intermediate Microsoft Office and SQL skills
  • Advanced ability to comprehend and interpret insurance and contract documents
  • Advanced knowledge of broad business practices
  • Highly advanced ability to employ methodologies for analyzing and improving business processes.
  • Highly advanced people management skills, demonstrating the ability to lead, mentor, and develop associates; including the ability to delegate key areas of responsibility
  • Highly advanced oral and written communication skills, demonstrating the ability to convey business terminology that is meaningful and well received
  • Highly advanced investigative, analytical and problem solving skills
  • Expert ability to balance detail with departmental goals/objectives
  • Advanced skills in customer relationship management and change management
  • Highly advanced ability to translate business needs and problems into viable/accepted solutions
  • Highly advanced ability to manage multiple projects and/or teams simultaneously
  • Highly advanced ability to liaise with individuals across a wide variety of operational, functional, and technical disciplines
  • Highly advanced persuasion and negotiation skills when working with internal/external customers
  • Ability to quickly learn and understand the business of RGA
  • Ability to travel 15-20%

Preferred:

  • Reinsurance industry knowledge

For more information please contact Opal Jackson (636)736-3420 or email: Ojackson@rgare.com or simply apply on line to req# US01817 on the RGA career website. http://www.rgare.com/careers


Posted May 17, 2017

Job Title: Associate Director of Technical Claims Services – Reinsurance Group of America, Incorporated (RGA)

Reinsurance Group of America, Incorporated (NYSE: RGA) is a leader in the global life reinsurance industry with approximately $2.9 trillion of life reinsurance in force and assets of $44.7 billion. We are one of the largest life reinsurance companies in the world.

Relocation to the St. Louis area is preferred; however, telecommuting will be considered.

Overview
The Associate Director, Technical Claims Services, provides technical claims expertise to RGA Re claims associates and clients. Conducts internal claims audits to evaluate the quality of the claims reviews. Identifies process improvements and needs for training. Performs external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty (ies). Develops relationships with client companies and RGA Re associates to ensure desired changes in practice are obtained. Reviews and approves the liability on large, complex claims. Provides technical expertise on disputed claims. Represents RGA Re in various claims industry activities. May manage senior claims staff.

Responsibilities

  • Develops and implements processes which allows RGA Re to identify and resolve unfavorable trends in ceding company claims handling.
  • Establishes and implements an internal and external process for effective customer claims evaluations and feedback.
  • Represents RGA Re at industry meetings (presenter, committee member) and exercises influence, as appropriate, with customers.
  • Develops positive relationships with customers and encourages their overall customer practice to the advantage of RGA Re.
  • Keeps up-to-date with changes in claims adjudication for direct insurance writers. Maintains an awareness of vendors to ensure quality and service. Acts as a resource to customers and other RGA Re associates to assure knowledge transfer.
  • Participates in the identification of service opportunities that will encourage enhanced client claim handling.
  • Acts in a consulting role with clients and RGA Re associates on large and complex claims.
  • Works with all departments in the Operations division and other departments within RGA Re to identify and resolve problems/issues.
  • Recommends and participates in the development and implementation of process improvements that may extend beyond area of oversight and with the approval of Operations leadership.
  • Collaborates with other members of the US Ops Management team to implement and manage to goals/plans/budgets that align with division and company objectives

Education and Experience
Required:

  • Bachelor's degree or equivalent related experience
  • 8+ years individual life claims experience and 5+ years in supervisory or managerial role
  • 3- years SQL

Preferred:

  • Reinsurance industry knowledge
  • Progress toward FLMI, ALHC or other relevant professional accreditation

Skills and Abilities
Required:

  • Intermediate Microsoft Word Skills
  • Intermediate Microsoft Excel Skills
  • Basic Microsoft Outlook Skills
  • Intermediate SQL Skills
  • Experience in conducting and summarizing audits
  • Demonstrated expertise in the technical considerations associated with life claims investigations, adjudications and litigation.
  • Demonstrated understanding of the financial reporting implications of the life/health claims process.
  • Competent ability to comprehend and interpret insurance and contract documents.
  • Ability to multi-task and meet tight deadlines
  • Ability to share and impart knowledge
  • Advanced written and oral communication skills and organizational skills
  • Ability to balance detail with department goals/objectives
  • Advanced persuasion skills when working with external customers to resolve issues/problems.
  • Advanced ability to investigate, analyze and solve complex problems/issues.
  • Advanced interpersonal skills, demonstrating the ability to manage, mentor and develop support staff.
  • Ability to manage multiple teams or projects
  • Advanced ability to foster a teamwork and customer service focused environment.
  • Knowledge of medical terminology
  • Ability to travel 15 to 20% of the work schedule
  • Must be flexible and adaptive to change
  • Basic goal setting skills
  • Change initiation skills
  • Ability to resolve conflict
  • Ability to improve processes and add value

Preferred:

  • Advanced Query Skills

For more information please contact Opal Jackson (636)736-3420 or email: Ojackson@rgare.com or simply apply on line to req# US01630 on the RGA career website: http://www.rgare.com/careers.