Life Benefit Case Manager I
Core
Adjudicates complex Group Life Insurance claims, including high-dollar claims, benefit calculations, and accidental death investigations.
Role type
Claims examiner (Life Insurance)
Builds
Adjudicated claims and benefit payments for Group Life Insurance policies
Domain
Insurance (Life & Disability)
Required skills
claims adjudication, complex benefit calculations, policy interpretation, state and federal regulations compliance, data analysis, documentation
Preferred skills
problem solving, critical thinking, independent work, team collaboration, mentoring, continuous improvement
Technologies
MS Word, Excel, email systems, online claim documentation platforms
Responsibilities
Investigate and adjudicate complex life insurance claims, calculate complex benefit payments including interest, communicate with beneficiaries and employers to gather data, document claim decisions, mentor less experienced employees, lead continuous improvement forums
Seniority
Individual Contributor (IC), mid-level