Senior Claims Examiner - Remote

Overview

The Senior Claims Examiner at Ethos plays a critical role in adjudicating complex life insurance claims, ensuring beneficiaries receive fair and timely outcomes while contributing to process improvement and mentoring associates.

In Short

• Lead the adjudication of complex or contested life insurance claims
• Conduct thorough investigations of policy applications and medical records
• Exercise independent settlement authority within defined limits
• Identify contestability and misrepresentation concerns
• Serve as a subject matter expert for life insurance claims
• Train and mentor associates on claims handling
• Collaborate with internal and external partners
• Maintain claims data integrity and prepare detailed files
• Proactively identify risks and suggest corrective actions
• Partner with product and technology teams for process improvements

Requirements

• 5+ years of experience in life insurance claims examination
• Proven ability to adjudicate complex claims
• Strong understanding of life insurance products and regulations
• Experience leading or mentoring claims associates
• Proficiency with Salesforce or equivalent platforms
• Excellent communication skills
• Strong analytical skills
• Exceptional attention to detail
• Demonstrated integrity in handling sensitive information
• Professional designations such as FLMI or AIRC are a plus

Benefits

• Competitive salary range
• Remote work opportunities
• Diverse and inclusive workplace
• Opportunities for professional development
• Comprehensive benefits package