New York Life Insurance Company · 8 hours ago
Group Claims Representative
United States
Full-time
Remote
Entry Level
$45K/yr - $55K/yr
1+ years expNew York Life Insurance Company is committed to purpose and integrity, and they are seeking a Group Claims Representative to manage life insurance claim investigations and determinations. The role involves ongoing claim administration, communication with customers, and ensuring compliance with guidelines.
FinanceFinancial ServicesInsurance
Responsibilities
Complete Life claim customer eligibility determinations and manage on-going claims through, applying appropriate contractual provisions, following legal guidelines, and working closely with technical leadership
Respond to calls from customers and clients, responding to inquiries proactively and empathically regarding life benefits
Communicate with customers, beneficiaries, business partners, and employers, to gather information regarding assessing eligibility and ongoing management of benefits
With close supervision, respond to written and telephone inquiries from customers, including eligibility, approval/denial determinations, status and continuation or closure of benefits
Pay all covered claims up to $60,000.00 accurately and efficiently with minimal supervision
Refer claims to Expert Resources with guidance from Technical leadership
Learn to identify medical records needed to assist with claim reviews
Execute on all customer performance guarantees
Adhere to standard timeframes for processing mail, tasks and outliers
Understand Group Benefit Solutions (GBS) and Corporate Compliance, Policies and Procedures and best practices
Complete all GBS and NYL required trainings within designated deadlines
Respond to all telephonic and email inquiries within customer service protocols in a clear, concise and timely manner
Qualification
Required
HS Diploma or GED required
Proficiency with MS Office applications is required (Word, Outlook)
Ability to gather information, analyze facts, and draw conclusions
Works with a sense of urgency and is a self-starter with a customer focus mindset
Ability to build and maintain effective relationships
Effective interpersonal, written and verbal communication skills
Excellent planning, time management and organizational skills
Ability to manage multiple and changing priorities
Preferred
One year minimum of professional experience strongly preferred
Bachelor's degree strongly preferred
Proven track record of successfully driving results in a complex matrix environment is a plus
Knowledge of legal liability, insurance coverage and medical terminology is a plus
Benefits
Leave programs
Adoption assistance
Student loan repayment programs
Company
New York Life Insurance Company
For over 180 years, we’ve helped turn your biggest dreams into milestones that last a lifetime.
10001+ employees
H1B Sponsorship
New York Life Insurance Company has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (149)
2024 (99)
2023 (85)
2022 (77)
2021 (48)
2020 (65)
Funding
Current Stage
Late StageLeadership Team
Craig DeSanto
CEO
Don Vu
Senior Vice President, Chief Data & Analytics Officer
Recent News
2026-01-13
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Insurance News in the United States
2025-12-13
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