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Boston Mutual Life Insurance Company
Detailed Job Description

Life Claim Examiner

Company Overview:

Boston Mutual Life Insurance Company was founded in 1891 and has been a stable financially strong company for over 120 years.

Boston Mutual is proud to promote our corporate principles of Service, Value, and Integrity. As well as being a financially strong and reputable company to do business with, Boston Mutual offers its employees a wide array of competitive benefits to full time employees. These include Health, Dental, Life and Long Term Disability Insurance, generous paid vacation time, free parking, paid holidays, 401K program, Flex Spending, tuition reimbursement, and an employee assistance program as well as offering flexible work schedules.

Responsibilities:

All Boston Mutual employees who interact with our policyholders, our producers and our BML associates embrace the principles of our brand and service philosophy.  We are all brand ambassadors.  Both our words and our behaviors matter.  We share a common service philosophy and pride ourselves in living the BML brand promises every day, one interaction at a time.

We do our best to:

  • Demonstrate a desire to assist.
  • Listen for understanding and respond empathetically.
  • Explain things in a manner that is easy to understand.
  • Be knowledgeable students of our business.
  • Take full ownership to resolve questions and issues.
  • Be professional, polite and courteous.
  • Leave our customers and associates “better than where we found them.”

The Life Claim Examiner is responsible for managing and processing all assigned claims while demonstrating the highest levels of service professionalism in all they do.

The Life Claim Examiner is expected to:

  • Manage their assigned caseload of Life insurance claims.
  • Review and process claims, evaluate medical records, and request additional information when needed.
  • Provide exceptional customer service handling claim related calls and when composing written correspondence.
  • Interpret and evaluate policy/contract revisions.
  • Review pending claims on a monthly basis.
  • Ensure compliance with state and federal requirements. Maintain privacy of confidential information.
  • Perform other duties as assigned.

Qualifications:

Education: High School Diploma required.

Experience:

Claim examiner: Minimum of 2 years business/office experience.

Sr. Claim Examiner: Minimum of 2 years life/medical claims experience required.

Knowledge Requirements:

  • Strong business knowledge
  • Excellent written/verbal communication skills.
  • Strong organizational skills that reflect ability to perform and prioritize a high volume of task.
  • Multitasks seamlessly with excellent attention to context, substance, and detail while meeting goals and strict deadlines.
  • Excellent interpersonal skills and the ability to effectively build and extend relationships.
  • Shows initiative with a “can do attitude” and the ability to implement changes that will improve workflow.
  • Medical terminology preferred.
  • Exceptional skills using MS Office.

Certifications/Licensures: N/A

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