Job Description

_We’re looking for a_ **_Claims Analyst_** _to join our Insurance Operations team at MBPS. In this role, you are responsible for the overall review, assessment, and decision on payment for claims._



**Position Responsibilities:**



+ Responsible for the complete assessment, calculation and final decision on claims (ex. Group life, AD&D, Survivor Income claims, TDMI, Personal Benefits as well as Compassionate Assistance Program loans.

+ Adjudicate and make independent decisions on non-contestable and contestable claims (i.e. Evidence of Insurability (E of I) and pre-existing conditions) within defined authority levels.

+ Operates within well-defined guidelines and processes/practices for routine claims. Identify invalid claims, detect fraud or misrepresentation and identify unusual facts to minimize liability of paying multiple claims Identify rival claim situations, take necessary steps and work with internal legal department for...

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