Accidental Death and Dismemberment Claims Specialist Position Available In New York, New York

Remote Accidental Death and Dismemberment Claims Specialist York Life Insurance Company life insurance United States, York Jun 25, 2025

Location Designation:

Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management solutions for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to York Life’s legacy of being there when we’re needed most. Here, you’ll design, implement, and support these solutions directly impacting employees’ lives. At our core, we provide financial security and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions.

Role Overview:

As a Group Claim Associate in the Accidental Death and Dismemberment department, you will partner with medical, legal and other expert resources to research, determine financial liability, and process claims for various products: Group Life,
Group Accidental Death and Dismemberment, and
Group Business Travel Accident
Other specialty products This includes making determinations regarding eligibility for benefits, providing ongoing claim administration, and communicating decisions and status updates to customers and clients. The Group Claim Associates decisions have a direct impact on customers’ well-being and sense of security. The ability to make and effectively communicate decisions within compliance guidelines, while integrating knowledge of customer contracts, Group Operations and corporate compliance are critical for success. What you’ll do: Independently conduct claim eligibility determinations and manage on-going claims for benefits through applying appropriate contractual provisions and following legal guidelines,
Proactively communicate with customers, beneficiaries, business partners, and employers, to gather information regarding eligibility for benefits
Manage complex claims with minimal supervision, and recognize when assistance from Technical Specialist and/or Team Leader as needed.
Interpret and evaluate death investigation records (police, autopsy, toxicology, forensic investigative reports, foreign documents, medical records, etc). against the applicable contract provisions including exclusions, limitations, material misrepresentations and fraud.
Independently refer claims to medical, legal and other Expert Resources when appropriate
Demonstrates solid planning and organizational skills with the ability to address short and long term goals while prioritizing and addressing ongoing issues.
Consistently drives initiatives/efforts to successful and compliant outcomes.
Provide coaching to other employees as needed
Complete all GBS and NYL required trainings within assigned timeframes
Independently respond to high levels of call volume from customers and clients. Respond to all telephonic and email inquiries within customer service protocols in a clear, concise, empathetic and timely manner
Embodies company’s commitment to high ethical and fair claim standards, corporate compliance, Policies and Procedures and best practices with employees. What you’ll bring: BA/BS degree or equivalent work experience with focus in Health or Science field desired
Forensic Science education and/or background highly desired
Demonstrated ability to problem solve, utilize analysis, experience and judgment to make accurate decisions
Clear and concise and timely professional communications using all mediums
Experience in delivering exceptional customer service
Team oriented focus with ability to perform at the highest level
Ability to prioritize critical objectives focusing on high impact components
Maintains professionalism and flexibility despite conflicting demands
Executes decisiveness even when dealing with ambiguity
Ability to learn process and product information and adapt quickly and effectively
Integrity, objectivity and personal accountability for own decisions and honors both internal and external commitments
Accepts challenges and demonstrates accountability for own developmental opportunities
Proficient in Microsoft Office applications (Word, Outlook) Pay Transparency Salary range:$50,000-$60,000 Overtime eligible:

Nonexempt Discretionary bonus eligible:

Yes Sales bonus eligible:

No Actual base salary will be determined based on several factors but not limited to individual’s experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to base salary, employees may also be eligible to participate in an incentive program. Actual base salary within that range will be determined by several components including but not limited to the individual’s experience, skills, qualifications, and job location. In addition to base salary, employees may also be eligible to participate in an incentive program. Our Benefits We provide a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and outside of work. Click here to discover more about our comprehensive benefit options or visit our NYL Benefits Site. Our Diversity Promise We believe in a diverse workforce because it is our mission to advocate for the financial security and success of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership. Recognized as one of Fortune’s World’s Most Admired Companies, York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by theFoundation.

We’re proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at York Life, please visit the Careers page of www.

YorkLife.com.

Job Requisition ID:

92074 #GBS