Claims Examiner

GlobeLife

. Evaluate claims to determine eligibility for benefits in accordance with policy contracts .

Posted 11/6/2026full-timeRemote • Texas • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims evaluation and processing, with a strong understanding of medical coding and terminology. Proficient in Microsoft Office Suite and capable of performing accurate data entry and arithmetic calculations in a fast-paced environment.

Highest-signal resume keywords

Claims EvaluationMedical Coding KnowledgeMicrosoft Office Suite ProficiencyData Entry SkillsStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingMedical TerminologyData EntryArithmetic CalculationsTyping Speed of 50 WPM

Soft Skills

Organizational SkillsDetail-OrientedAbility to Work IndependentlyTeam-Oriented AttitudeFlexibility

Industry Keywords

Insurance Industry KnowledgeClaims Handling ExperiencePolicy ContractsEligibility DeterminationIndependent Judgment

About the role

Key responsibilities & impact

Evaluate claims to determine eligibility for benefits in accordance with policy contracts
Process claims according to Company procedures
Perform necessary accounting entries to complete claims processing
Exercise independent action and judgment in claims decisions
Communicate with policyholders, PR Representatives, Marketing Specialists, claimants, agents, and medical providers via telephone, e-mail, and written correspondence
Perform all duties with a high degree of accuracy
Perform other duties as required by the department

Requirements

What you’ll need

Bachelor's degree from a four-year college or university, or 1–2 years of related experience and/or training; or equivalent combination of education and experience
Six months' experience in a Claims Department Data Entry & Mail Distribution Representative position (LG4), or four years in a non-entry level position (LG4 or higher)
Minimum typing requirement of 50 wpm
High School diploma or equivalent
Knowledge of medical coding and terminology; must score 98% or better on the Medical Terminology exam
Proficiency in Microsoft Office Suite (Outlook, Excel, Word) at an advanced level
Skilled in performing intermediate arithmetic calculations
Strong organizational skills and detail-oriented approach to work
Excellent written and verbal communication skills
Ability to thrive in a fast-paced environment while working independently and with limited supervision
Positive, team-oriented attitude with flexibility to adjust to changes as they arise
High technical aptitude with the ability to learn new systems quickly
Knowledge of the insurance industry and claims handling experience preferred
For promotion to Claims Examiner II: one year in the Claims Examiner position plus successful completion of ICA Medical Aspects of Claims and ICA Life and Health Insurance Law, or five years in the Claims Examiner position; 98% or better on the Medical Terminology exam; and fully competent performance for two preceding quarters

Benefits

Comp & perks

Competitive compensation designed to reflect your expertise and contribution
Comprehensive health, dental, and vision insurance plans
Robust life insurance benefits
Retirement plans, including a pension plan
Paid holidays and time off
Parental leave
Subsidized all-in-one subscriptions supporting fitness, mindfulness, nutrition, and sleep
Company-paid counseling for mental health, stress management, and work-life balance
Continued education reimbursement eligibility
Company-paid FLMI and ICA courses
Discounted Texas Rangers tickets