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Kuvare Holdings · 4 hours ago

Claims Examiner

Des Moines, IA

Full-time

Onsite

New Grad, Entry Level

$45K/yr - $55K/yr

Kuvare Holdings is dedicated to simplifying retirement solutions for consumers and professionals alike. The Claims Examiner will play a crucial role in the claims process, responsible for reviewing and processing claims while ensuring compliance with regulations and maintaining accurate records.

Asset ManagementFinanceInsurance

Responsibilities

Review claims reports and mail. Analyze investigative material for coverage to determine if claim is to be paid or denied, and if policy/certificate needs to be reformed/rescinded

Maintain contact with agents and corporate legal counsel as needed

Process payments and correspondence on a timely basis to ensure accurate and prompt processing

Review new claims and determine if coverage is in force and claim is valid. Set up file; request additional information needed. Initial review includes reinsurance participation, contestability, beneficiary designations, coverage exclusions. Conclude what, if any, benefit applies and the amount to be reimbursed

Organize work/resources to accomplish objectives and meet deadlines

Maintain compliance with federal and state regulations

Maintain the privacy and security of all confidential and protected information; use and disclose only that information which is necessary to perform the function of the job

Demonstrate the willingness and ability to work collaboratively with other key internal and external staff to obtain necessary information from both internal and external partners

Participate in all educational activities and demonstrate personal responsibility for job performance

Take initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities, as deemed appropriate

Consistently demonstrate a positive and professional attitude at work

Deliver a high standard of service and empathy when following up with customers by letter, email, or telephone once the claim has been resolved

Efficiently answer incoming telephone or email inquiries from customers about the status of their claim, striving for excellence at every touchpoint

Work with other departments to maintain and update claims systems and ensure accuracy of reports. Maintain relationships with beneficiaries, agents, insureds/claimants, and creditors

Accurately research discrepancies and be responsible for escalating questionable claims to your manager

Qualification

Claims processingRisk assessmentConflict resolutionMicrosoft OfficeProofreading skillsDeadline managementContract interpretationOrganizational skillsInterpersonal skillsVerbal communicationAttention to detailSelf-starterIndependent work