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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting reviews and investigations for Group Life Insurance claims, with strong analytical skills for complex benefit calculations and adherence to regulatory standards. Proven ability to communicate effectively with stakeholders and mentor team members while maintaining high-quality service standards.
Highest-signal resume keywords
Claims ExperienceAnalytical SkillsDecision-Making SkillsClient Service CommitmentProficiency in MS Word and Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingBenefit CalculationsLiability AssessmentsAccidental Death InvestigationsQuality Control Standards
Soft Skills
Critical ThinkingProblem-SolvingEffective CommunicationTeam CollaborationMentoring
Tools & Technologies
PC EnvironmentEmail Systems
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Group Life InsuranceState and Federal RegulationsContinuous ImprovementCustomer Service Standards
About the role
Key responsibilities & impact- Conduct reviews, investigations and liability assessments for Group Life Insurance claims
- Process complex claims, including high-dollar claims, complex benefit calculations and accidental death investigations
- Communicate with beneficiaries, employers and benefit administrators to gather information and analyze eligibility
- Adjudicate claims in accordance with policies, procedures and state and federal regulations
- Calculate complex benefit payments, including applicable interest
- Meet quality-control, productivity and customer-service standards
- Participate in team meetings and lead continuous-improvement forums
- Document and analyze claim decisions in an online environment
- Escalate issues to management as needed
- Work independently in a virtual team environment and build cross-departmental relationships
- Mentor and assist with training less experienced employees
- Identify opportunities to improve work practices and processes
Requirements
What you’ll need- Minimum 2 years of claims experience preferred
- High School Diploma or equivalent required
- Strong analytical, critical thinking, problem-solving and decision-making skills
- Effective and professional written and verbal communication
- Strong commitment to client service and quality
- Ability to work independently and in a team environment
- Strong computer skills
- Proficiency in a PC environment, MS Word, Excel and email systems
Benefits
Comp & perks- Generous vacation and sick time
- Paid family, parental and adoption leave
- Medical coverage
- Company-paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Flexible, inclusive and collaborative work environment
- Career growth support
- Discretionary annual incentive award based on individual and business performance