ICA Jobs: Our Member Job Bank

An important part of our mission to connect and empower our members is to provide them with robust career building and networking opportunities. To that end, we offer a comprehensive, updated job bank that lists open positions in other member organizations.

As equal opportunity employers who greatly value diversity and an environment built on respect and inclusivity, our members are dedicated to providing fulfilling career paths, competitive salaries and benefits packages, and ongoing opportunities for growth and advancement.

How to Post a Position

Posting is easy. If you’d like to post an open job position in the ICA Job Bank, please email it to Sibel Clifford, Director of Membership and Operations, at sclifford@claim.org. As a member, your posts are free and will remain on the site for 60 days.

Non-members can also post ICA jobs! There is a $250 fee to post for 60 days. Beyond job postings, there are many reasons to join the ICA, among them access to research and white papers/reports, exclusive educational opportunities and a chance to collaborate with other member organizations to share best practices and other ideas.

Open Positions

The Cincinnati Life Insurance Company
Life Claims Supervisor —Hybrid Position

(Posted 01/13/2022)

Our Life Claims department is currently seeking a Life Claims Supervisor to oversee the daily responsibilities of the life claims unit, provide training to new associates, and act as a resource for any system issues or complex claim questions. You will work closely with our agents and beneficiaries to resolve life and annuity claims, and be responsible for claim audits and reporting.

Be ready to:
• coordinate and supervise the daily activities of life claims unit, including assessing and maintaining performance standards
• oversee the training and development of new claim processors and act as a resource for less-experienced personnel
• act as a resource for complex claims and collaborate with other departments as needed
• troubleshoot system issues and help to resolve problems
• manage a caseload of Life and Annuity claims, including Accelerated Benefit, Disability Income, Waiver of Premium and Accidental Death claims
• approve claims within scope of authority and review those above claim processors’ limit for accuracy and compliance
• investigate contestable claims and prepare report of findings to refer to underwriting
• perform quality reviews on a daily basis and claim audits on a monthly basis
• complete annual 1099 reporting, including maintenance of annuity reports, and make corrections as needed
• review monthly and quarterly reports that are provided to accounting for the company’s financial statement
• recognize service gaps and recommend process improvements within the department
• create and maintain procedural documentation
• act as back-up for department manager when necessary

Be equipped with:
• experience in life claims processing and supervision preferred
• understanding of life and annuity products, beneficiary wordings, and contract language
• demonstrated expertise in claim investigation, analysis, and adjudication, including contestable claims
• strong experience in claims training and performing audits
• knowledge of 1099 reporting and tax implications of qualified and non-qualified annuity payouts
• proficient in Microsoft Office (Excel and Word)
• knowledge of LifePro claims administration system is strongly preferred
• FLHC and FLMI industry designations or willingness to pursue
• excellent communication skills, both oral and written
• strong attention to detail and excellent customer service skills
• ability to effectively manage time

You’ve earned:
• a bachelor’s degree in business or related field or an equivalent combination of education and work experience

To apply or learn more, please visit www.cinfin.com/careers

The Cincinnati Life Insurance Company
Disability Claims Processor—Hybrid Position

(Posted 12/16/2021)

At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person®.

If you’re ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.

Our Life Claims department is currently seeking a full-time Disability Claims Processor to work in a hybrid environment to evaluate individual and group disability claims to determine if benefits are owed under a contract. You will communicate and correspond with policyholders, agents, claimants, and attorneys to resolve claims and assist claimants with return-to-work planning and filing for social security.

• manage a case load of individual and group disability claims
• review, investigate and analyze financial and medical claim evidence to determine liability
• answer telephone inquiries regarding new, pending and settled claims
• communicate with claimants, reinsurers, agents, attorneys and others regarding claim requirements and claim decisions
• approve monthly claim payments within scope of authority
• maintain claim files in thorough, clear and objective manner
• verify data in policy administration system and calculate benefit amount to ensure accurate claim payment and financial/tax reporting
• analyze and interpret contract terms and limitations.
• consult with reinsurers and others as necessary regarding complex claims
• request and record reinsurance recoveries
• create and maintain Excel claim reports with reinsurance payments and recoveries
• prepare monthly and quarterly financial reports as assigned
• refer claim and claim related questions, where appropriate, to Legal department
• interpret and comply with all state statutory requirements and fair claims practices

• prior disability claims processing experience preferred
• progress toward FLMI, ALHC or other industry designation
• knowledge of medical terminology and financial statements
• proficient in the use of LifePro claims administration system and Microsoft Excel
• excellent communication skills, both oral and written
• ability to work independently and effectively manage time
• strong attention to detail
• excellent customer service skills

You’ve earned: an associate’s degree or relevant experience

To apply or learn more, please visit www.cinfin.com/careers 

Standard Insurance Company / The Standard – Remote work possible
Group LTD Disability Benefits Analyst

(Posted 12/8/2021)

As a part of The Standard’s Disability Benefits team, you’ll provide responsive and caring customer service to claimants and policyholders while applying appropriate disability management strategies to disability claims.

You’ll contribute to the success of the claims teams by applying your excellent customer service skills and will grow your claims expertise through on the job training, where you’ll be set up for long term success.

What You’ll Get From Us:

  • A competitive salary and benefits package
  • An engaging and inclusive work environment
  • A performance driven culture with respect for people

Key Responsibilities

  • Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status, and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits.
  • Make and communicate disability decisions and issue correct benefits for new and continuing claims.
  • Develop and execute a claim and disability management strategy for each claim; ensure that each claimant’s ongoing and changing medical conditions, vocational options, applicable policy limitations and provisions, and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution.
  • Proactively communicate and respond to claim and account inquiries from claimants, policyholders, field personnel and other interested parties.
  • Effectively and professionally represent the company in all interactions.
  • Approve claim decisions, claim and disability management strategies and payments recommended by less-experienced staff; provide training for the department, team and individuals.
  • Ensure the company’s reserve liability is accurately established by identifying all applicable claim offsets and maintaining accurate claim and system data.

For more information and to apply, click here

Claims Examiner/ AAA Life Insurance Company

(Posted 11/18/2021)

Job Number: 1946-418

AAA Life Insurance Company is seeking to hire a Claims Examiner. This individual analyzes, evaluates, and determines final decision for life, accidental injury & death, simple annuity and rider claims within scope of authority and experience level in accordance with established departmental and statutory guidelines. May consult with senior claims staff of management regarding claim situations that require assistance. Has authority to approve or deny claims within specified authority. Provides secondary signature for claims adjudicated by other team members within scope of authority. Has authority to resolve complaints and is actively involved in procedure development. Communicates with members, beneficiaries, and legal representatives to appropriately adjudicate a claim. Provides guidance and support regarding questions on claim files to less tenured team members. Senior Claims Examiner or Claims Consultant review cases outside of prescribed limits and authority. May also assist with projects and performs other duties as assigned.

Position Responsibilities:

• Review and assess newly reported life, accidental injury & death, simple annuity claims. May also review and assess specified Rider Claims, including Disability Waiver of Premium and Accelerated Death Benefit claims. May handle claims occurring outside of the US.
• Analyzes requirements to determine accurate claim decision based upon specific contract for life, accidental injury & death, simple annuity and rider claims within prescribed limits and authority. Refers cases outside of prescribed limits and authority to Senior Claims Examiner or Claims Consultant.
• Calculates benefits, including statutory interest, for life, accidental injury & death, simple annuity and rider claims.
• Responds to customer inquiries regarding claim matters and written correspondence via telephone, written letter, and e-mail.
• May conduct interviews with claimants, beneficiaries, or next of kin on any type of claim to gather information to adjudicate claim.
• Acts as a mentor and provides secondary signature on claims referred to them by Claim Examiner I team members that are within scope of authority.
• Prepares beneficiary correspondence to communicate adverse decisions when appropriate consistent with department guidelines and statutory requirements.
• Process multiple types of Claims.
• Supports accomplishment of team goals by performing other duties as assigned.
• Represent Claims department in the legal process if required.
• Read and interpret complex insurance policies/provisions as they relate to the claim presented.
• Reads and interprets Reinsurance Treaties related to claim processing. Refers files to reinsurance in accordance with treaty requirements.

Required Experience:

• Associate Degree, medical certification, or equivalent related work experience required.
• LOMA281 and LOMA2911) required within 12 months of starting position.
• ALHC Designation required within 24 months of starting position.
• Minimum 3 years’ experience in Life/Health Insurance or Claims processing experience or related field required.
• Life insurance underwriting experience including knowledge and understanding of medical conditions, impairments and the financial and legal aspects of risk selection and other factors pertaining to acceptability and assessment of life insurance applications, preferred.
• Demonstrates strong knowledge and understanding of Life, Accident, Annuity, and Heath Products Completion of AAA Life Insurance Company Product training within 6 months of accepting position.
• Demonstrates knowledge of HIPAA, Privacy, ACLI Guidelines, Unfair Claims Settlement Act/Laws, Life Insurance and Medical Terminology.
• Proficient using internet based applications and Microsoft office products, specifically Word and Excel.
• Able to perform basic mathematical calculations to include addition, subtraction, multiplication, division, and percentage.
• Able to work hours as required by business needs (may include flex scheduling, irregular hours, weekends, and holidays).

To apply, please visit our career website at: https://careers.aaalife.com
Or click: https://jobs.silkroad.com/AAALife/Careers/jobs/1946