Reviews coverage eligibility and policy status and requests necessary proof of loss documents
Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
Determines benefit eligibility and recommends claims for payment or denial
Reviews and handles a high-volume caseload of Life claims
Communicate with agents, beneficiaries and attorneys both written and verbal
Knowledge, Skills, and Abilities:
Minimum 4 years' experience adjudicating Life, Health, Medical or Disability Claims
Adjudicating contestable life claims is a plus
General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance.
Excellent interpersonal and team building skills
Excellent verbal and written communication skills
Excellent judgment, research, and organizational skills
Ability to multi-task, prioritize and handle high volumes
Excellent PC skills and knowledge and usage of Microsoft Office
Detailed-oriented with the ability to work well independently and with others
FLSA status:
This position is exempt (not eligible for overtime pay):
No
Benefits
Day one health, dental, and vision insurance401(k) Plan with competitive employer matchVacation, sick, holiday and volunteer time offLife and disability insuranceFlexible Spending Account & Health Savings AccountProfessional developmentTuition reimbursementCompany-sponsored social and philanthropy eventsHealth insuranceDental insuranceVision insurance401(k)Paid time offFlexible schedule
Additional Information
Join Our Team
In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America's Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America's Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work! Join our team to experience what it's like to work at "one of the best places to work in the metro Atlanta".
About this Position
The Life Insurance Examiner adjudicates individual life claims. The Examiner reviews coverage eligibility, policy status, requests necessary proof of loss documents, determines benefit eligibility and recommends claims for payment or denial.
Open to candidates that reside anywhere in the United States but must work Eastern time zone hours.
Salary range between $45K - $55K Annual
Responsibilities & Qualifications
Responsibilities & Qualifications
Primerica · Duluth, GA