Claims Examiner 2

Posted 3 Days Ago
Be an Early Applicant
Duluth, GA
45K-55K Annually
Mid level
Financial Services
The Role
The Claims Examiner 2 audits waiver, terminal illness, and life claims payments, ensuring timely adjudication and identifying issues for resolution.
Summary Generated by Built In

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

Claims Examiner 2 is responsible for performing routine and complex audit of waiver, terminal illness and life claims payments for pre- and post- check run. The Claims auditor ensures accurate and timely adjudication of claims, as well as identifying potential issues, and recommending strategies for resolution.
Salary: $45K - $55K
Hybrid Role in our Duluth Ga office

Responsibilities & Qualifications

Job Duties and Responsibilities

  • Review all payments before processing payment file.
  • Review each payment over adjuster’s authority limit and submit for manager second sign off.
  • Review and assesses appropriateness of document changes in accordance with internal procedures as well as state regulations.
  • Review and summarize any errors found and provide feedback to adjusters for additional handling.
  • Analyzes problems, trends and identify any workflow opportunities that may need improvements to control losses.
  • Advises Claims management of audit trends to utilize for development opportunities.  
  • Evaluate claims for adequacy of root cause, corrections, corrective actions, preventive actions and effectiveness. 
  • Provide feedback to adjusters to enhance their understanding of contract issues, system-related problems,  and claims processing Policies and Procedures.
  •  Promote a spirit of cooperation and understanding among all personnel.

Minimum Qualifications

  • Highschool Diploma
  • 3 - 5 years experience with Claims adjudication
  • Experience in Auditing (preferred)

#Dice

#LI-SH1

FLSA status:
This position is exempt (not eligible for overtime pay):

No

Our Benefits:

  • Day one health, dental, and vision insurance

  • 401(k) Plan with competitive employer match

  • Vacation, sick, holiday and volunteer time off

  • Life and disability insurance

  • Flexible Spending Account & Health Savings Account

  • Professional development

  • Tuition reimbursement

  • Company-sponsored social and philanthropy events

It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.

At Primerica, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Duluth, GA
16,799 Employees
On-site Workplace
Year Founded: 1977

What We Do

Primerica is a leading financial services company in North America, with more than 2,000 corporate employees who support more than 129,000 licensed independent representatives providing financial education and offering financial products and services to their clients. Primerica has been operating for more than 40 years and is publicly traded on the New York Stock Exchange (NYSE) under the symbol "PRI."

Primerica’s focus is on serving the needs of middle-income consumers by providing products such as term life insurance, mutual funds, annuities, and more. In addition to the products and services we offer, Primerica also offers entrepreneurial-minded individuals the opportunity to build their own financial services business. More information about Primerica's Business Opportunity can be found on www.primericabusinessopportunity.com.

Headquartered in Duluth, Georgia, Primerica operates throughout the U.S., Canada, and the territories of Puerto Rico and Guam. We believe financial security should be possible for everyone, so we strive to meet families where they are today and help them be better prepared for their future.

Similar Jobs

ServiceNow Logo ServiceNow

Director, Learning Business Partner - Engineering

Artificial Intelligence • Cloud • HR Tech • Information Technology • Productivity • Software • Automation
Remote
Hybrid
Atlanta, GA, USA
26000 Employees
Remote
Hybrid
Atlanta, GA, USA
289097 Employees

Cox Enterprises Logo Cox Enterprises

Senior Manager of Vulnerability Management

Automotive • Cloud • Greentech • Information Technology • Other • Software • Cybersecurity
Hybrid
Atlanta, GA, USA
50000 Employees
145K-242K Annually

Magna International Logo Magna International

Spvr, Production

Automotive • Hardware • Robotics • Software • Transportation • Manufacturing
Hybrid
Carrollton, GA, USA
171000 Employees

Similar Companies Hiring

EDGE Thumbnail
Software • Fintech • Financial Services • Analytics
Chicago, IL
20 Employees
Energy CX Thumbnail
Utilities • Professional Services • Greentech • Financial Services • Energy • Consulting • Business Intelligence
Chicago, IL
78 Employees
MassMutual India Thumbnail
Insurance • Information Technology • Fintech • Financial Services • Big Data
Hyderabad, Telangana

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account