Back to Jobs

Claims Examiner, Life and Health reinsurance (Hybrid Work Model)

Remote, USA Full-time Posted 2025-05-22

About the position

The Claims Examiner role at Swiss Re's Life and Health claims department involves the administration of individual and group life claims of low to moderate complexity. The position requires engaging with clients' claim departments and collaborating with the Technical Accounting Department to resolve coverage issues. The role emphasizes accuracy in evaluating claims and making independent decisions within established guidelines.

Responsibilities
• Work independently to accurately evaluate information received in the Claims Department and record liabilities in a timely manner
,
• Verify data in life index and from the policy database for new claim notifications
,
• Determine total exposure on a ceded life policy by executing and evaluating appropriate reports, including retro coverage
,
• Verify claimant information against the OFAC database and ensure appropriate reporting of liabilities by confirming receipt of premium
,
• Evaluate appropriate category and triage action needed on incoming mail and requests
,
• Support continued improvement by recommending identified process efficiencies and in ongoing training and mentorship of claims examiners.

Requirements
• Knowledge of insurance and a general understanding of reinsurance required
,
• Strong verbal and written communication skills
,
• Excellent data analysis and organizational skills
,
• Demonstrate and utilize effective problem-solving skills and proactive critical thinking skills
,
• Willingness to complete industry related courses and attend educational seminars as deemed appropriate by management.

Nice-to-haves

Benefits

Apply Job!

 

Similar Jobs

CONTRACT - Remote Insurance Producer - Property & Casualty

Remote, USA Full-time

LVN or RN Clinician, Prior Authorization (Tuesday thru Saturday)

Remote, USA Full-time

Work from Home Customer Service Coordinator - Bank Voice

Remote, USA Full-time

Sr. Executive/Lead - US Accounting & Finance (US Federal)

Remote, USA Full-time

Loan Officer Assistant-Must be located in Kansas or Missouri

Remote, USA Full-time

Spanish Bilingual Licensed Healthcare Insurance Agent - Remote USA

Remote, USA Full-time

Business Experience Planning & Administration Advisor - Equipment Finance

Remote, USA Full-time

Customer Relations Representative - State Farm Agent Team Member

Remote, USA Full-time

Medical Biller AR Followup Analyst - Work From Home

Remote, USA Full-time

Project Approval Underwriter II - Tampa FL - Remote

Remote, USA Full-time

Interim Sr. Manager of Revenue and Technical Accounting

Remote, USA Full-time

Quality Director, Personal Care (REMOTE WITH 75% TRAVEL)

Remote, USA Full-time

In-Home Mobile Urgent Care LVN / LPN in Fort Worth, TX in UnitedHealth Group (job Id: 1676072937)

Remote, USA Full-time

Pepsico Careers Part-Time Remote Data Entry Roles Jobs - Apply Now

Remote, USA Full-time

Verizon is hiring: ConsultantInstructional Design in Teaneck Township

Remote, USA Full-time

R-108109 Client Project Manager

Remote, USA Full-time

Aetna Customer Support ? Freshers Jobs $24/Hour

Remote, USA Full-time

Remote Jobs At Starbucks $26 An Hour - DPS - VacancyGlobal

Remote, USA Full-time

Senior Field Marketing Manager

Remote, USA Full-time

Work From Home: Audio Transcription Specialist ? Remote USA Nigeria

Remote, USA Full-time