Life Claims Examiner

LIFE CLAIMS EXAMINER
(Full Time, Non-Exempt, Hourly)

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. This is a hybrid position with 3 days in-office. We are also open to considering remote candidates. Join our team to help make a difference in the lives of others!  

Applicants must be authorized to work for ANY employer in the U.S. We do not sponsor employment visas or other immigration processes to attain or maintain employment eligibility. Remote positions are open to applicants based anywhere in the continental U.S. Hybrid positions are open to applicants based in the Austin, Texas area. 

About Continental General:

The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 200,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.

Position Summary:

The Life Claims Examiner investigates and maintains basic life insurance claims, reviewing and evaluating coverage and liability and securing the information needed to review and pay claim benefits. This role works within specific limits and authority on assignments of moderate complexity, handling claims of high frequency and low severity under moderate supervision, and helps ensure that claims are paid accurately, on time, and in compliance with all applicable laws, regulations, and company policies.

Key Responsibilities:

• Investigates and maintains basic claims.
  • Reviews and evaluates coverage and/or liability.
  • Secures and analyzes necessary information to review and pay claim benefits (i.e., reports, policies, appraisals, releases, statements, records, or other documents).
• May affect settlements/reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
• Conveys simple information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
• Performs other duties as assigned.

Requirements

Experience & Skills Qualifications:

• High School Diploma or equivalent required.
• 3+ years of related experience.
• Works within specific limits and authority on assignments of moderate complexity.
• Handles claims of high frequency and low severity.
• Possesses basic functional knowledge and skills reflective of study and/or on-the-job development.
• Performs work under moderate supervision.
• Possesses good verbal and written communication skills.

Why Join Us?

• Competitive salary and benefits, including 401(k), health insurance, and performance-based bonuses.
• Collaborative and fast-paced work environment.
• Professional development and growth opportunities within the insurance and claims space.

Benefits:

• Competitive Salary & Target Bonus Program
• Retirement Savings – 401(k) with a company match
• Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.
• Work-Life Balance – This role offers 20+ days of PTO, 10 paid holidays, and paid volunteer time off.
• Flexible Work Options & Perks – Hybrid opportunity, wellness programs, and weekly paid lunch for onsite staff.
• Health Savings Accounts (HSA) & Flexible Spending Accounts (FSAs) – Includes a company match for HSAs.