Benefit Claims Technician

Evaluating and adjudicating Group Claims for Accident, Critical Illness, and Hospital Indemnity, the full-time remote Benefit Claims Technician will manage end-to-end claims processing while ensuring timely and accurate decisions to enhance customer experience. Key responsibilities Independently evaluate claims by gathering and analyzing relevant information to make sound decisions based on policy provisions Maintain professional communication and build strong relationships with claimants, employers, brokers, and internal teams Ensure accurate financial determinations and eligibility assessments using salary data, contract terms, and medical documentation Required qualifications Experience working with insurance claims, preferably in Accident, Critical Illness, and Hospital Indemnity products Demonstrated ability to analyze complex insurance and medical data and apply regulatory knowledge to claims decisions Proficient in calculating benefits from basic to complex levels using policy provisions and supporting documentation Highly organized with strong attention to detail and ability to manage priorities effectively Ability to work remotely with access to a high-speed internet connection while located in the United States