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Long Term Care Claims Examiner

Country Companies

Country Companies

Bloomington, IL, USA
Posted on Wednesday, August 21, 2024
Long Term Care Claims Examiner

Job Number:

240336

Primary Location

: US-IL-Bloomington

This position offers a hybrid work schedule and is based out of our corporate offices in Bloomington, IL.

How does a Long-Term Care Claims Examiner make an impact?

  • Provides customer service by answering phones and providing information to the Client/Beneficiary, Financial Representative or Third Party as appropriate regarding questions of coverage, claim status and other information as needed.
  • Position reviews, analyzes, investigates, decides course of action, concludes payment decision by referring to policy coverage and limits and authorizes payments for claims in assigned line of business (Life/Long Term Care/Disability) within authority guidelines
  • Corresponds with Financial Representatives, policyholders, hospitals, doctors, attorneys and claimants. May communicate directly with clients, state insurance departments and other internal and external areas.

Do you have what we’re looking for?

  • Ability to analyze contracts to determine eligibility.
  • Processes incoming mail for new and pending claims.
  • Ability to utilize multiple systems (including but not limited to Expert system, AWD & ClaimFacts) to acquire information given to clients.
  • Communication skills to communicate with internal and external parties regarding claim needs.
  • Typically requires 2 years of relevant experience or a combination of related experience, education and training.

Why work with us?

Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We’re a big company, yet small enough you can make an impact and won’t get lost in the shuffle. You’ll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business.

You’ll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match, parental leave, paid time off, paid company holidays and time off to volunteer in your community. Please click here to learn more about who we are and the many benefits we offer our employees.

COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations.

Come join our team at COUNTRY today!

COUNTRY Financial does not generally sponsor individuals for employment-based visas for this position.