Claims Examiner – Trainee

Illinois Mutual

. Analyze claims to determine whether benefits are due based on established procedures and industry best practices .

Posted 9/15/2026full-timePeoria • Illinois • United StatesEntry Level💰 $47,500 - $49,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in claims analysis and processing, ensuring compliance with industry regulations and maintaining confidentiality of Protected Health Information. Excels in customer service and effective communication while managing a caseload and collaborating with team members.

Highest-signal resume keywords

Claims AnalysisCustomer ServiceEffective CommunicationProblem-SolvingMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingClaims DocumentationInformation GatheringPayment ProcessingRisk ManagementInsurance KnowledgeAttention to DetailDiscretion and Judgment

Soft Skills

ReliabilityIntegrityProfessionalismSelf-MotivationOrganizational Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft Outlook

Industry Keywords

InsuranceClaims RegulationsProtected Health InformationCustomer CommunicationFast-Paced Environment

About the role

Key responsibilities & impact

Analyze claims to determine whether benefits are due based on established procedures and industry best practices
Investigate claims by gathering and processing information from policyowners, physicians and third parties
Review assigned caseloads and determine benefits due pursuant to policy provisions within designated authority levels
Refer claim activity outside authority level to a Senior Examiner or Supervisor
Discuss claims decisions regularly with a Senior Examiner or Supervisor
Make timely claims payments through prompt and continual follow-up of outstanding claim information as approved
Communicate claim actions professionally and effectively with claimants and other appropriate parties
Escalate difficult or complex claims or claimant situations as necessary
Document claim decisions using claim forms, medical records, independent medical exams and investigations
Process payments accurately through information systems
Adhere to claim rules, regulations and laws
Develop and maintain superior customer service through prompt and courteous service communication
Attend approved meetings and educational seminars or conferences for professional development
Learn the insurance industry, the Company, its products, services, claims processing and position expectations
Develop skills to apply discretion and sound judgment to various claims
Assume additional responsibilities as necessary

Requirements

What you’ll need

Bachelor’s degree required, preferably in Insurance, Risk Management, Business, Accounting, Finance or other similar discipline
Demonstrate reliability, integrity and professionalism as well as a positive attitude
Must handle Protected Health Information and maintain confidentiality at all levels
Highly self-motivated, organized and attentive to details
Effective communication skills, both verbal and written
Excellent problem-solving skills; able to respond to requests promptly and proactively
Comfortable in fast-paced environment; self-directed and flexible
Ability to maintain professional and constructive working relationships with others as well as work independently
Strong customer service and quality/accuracy focus
Proficiency of related information systems, including Microsoft Office programs (Word, Excel, Outlook)
Bilingual (Spanish) proficiency a plus

Benefits

Comp & perks

Compressed 4 1/2-day work week (Half-Day Fridays)
No monthly premium cost for employee medical, life and disability insurance coverage
Paid time-off accrual, including annual rollover
Paid holidays
Competitive 401(k) plan with immediate vesting on Company contributions
Discounted on-site employee cafeteria
On-site exercise facility and company-provided exercise time
Tuition reimbursement and training incentives
Access to voluntary dental and vision insurance coverage