Contestable Claims Examiner I jobs in United States
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Americo Financial Life and Annuity · 13 hours ago

Contestable Claims Examiner I

Americo Financial Life and Annuity is seeking a Contestable Claims Examiner to join their Contestable Claims team. This role involves investigating and adjudicating life insurance claims within the contestability period while ensuring compliance with state regulations and providing support to beneficiaries.

BankingConsultingCrowdfundingFinancial ServicesInsuranceRetirement
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Comp. & Benefits

Responsibilities

Independently investigate and adjudicate life insurance claims within the contestability period
Analyze medical records, underwriting files, applications, and supporting documentation to assess material misrepresentation or omissions
Conduct comprehensive claim investigations and risk assessment
Identify and evaluate potential fraud indicators
Prepare clear, well-documented claim analyses and decision rationales
Communicate professionally and empathetically with beneficiaries, agents, and internal partners
Partner closely with Underwriting, Legal, and Compliance to support accurate outcomes
Ensure all claim decisions comply with policy provisions, state regulations, and company guidelines
Manage a caseload while meeting productivity, quality, and service-level expectations
Participate in peer reviews, audits, and continuous improvement initiatives
Stay current on industry regulations, case law, and best practices related to contestable claims

Qualification

Life insurance claimsAnalytical skillsFraud detectionClaims systems proficiencyMicrosoft OfficeCommunication skillsAttention to detailOrganizational skillsTime managementCritical thinking

Required

Strong analytical and critical-thinking skills
Ability to interpret medical records and underwriting documentation
Excellent written and verbal communication skills
High attention to detail with strong organizational and time-management abilities
Comfort making independent, well-supported decisions
Proficiency with claims systems and Microsoft Office tools
Four year degree from an accredited college or university, or relevant industry experience

Preferred

2+ years of life insurance claims, underwriting, medical review, or related investigative experience preferred
Experience with fraud detection, contestable claims, or complex claims investigations is a plus

Company

Americo Financial Life and Annuity

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Americo Financial Life and Annuity is a financial services company that offers life insurance services.

Funding

Current Stage
Growth Stage

Leadership Team

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Mark Fallon
Senior Vice President and Chief Financial Officer
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Renee Platz
Executive Assistant-CIO/Sr VP-Investments
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Company data provided by crunchbase