Group Claims Associate at Horace Mann Agent

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Full Time

Start Date

Immediate

Expiry Date

16 Feb, 26

Salary

33.0

Posted On

18 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Organizational Skills, Communication, Interpersonal Abilities, Claims Processing, Customer Service, Analytical Thinking, Problem-Solving, Insurance Knowledge, Claims Management Software, Microsoft Office, Regulatory Compliance, Data Analysis, Team Collaboration, Fraud Detection, Documentation, Process Improvement

Industry

Insurance

Description

Horace Mann is seeking a detail-oriented and service-focused Group Claims Associate to join our team. In this role, you will be responsible for supporting the end-to-end processing and administration of Group Life, Disability, and Waiver of Premium claims. You’ll ensure claims are reviewed accurately, processed efficiently, and managed in compliance with company policies and regulatory requirements. This is an excellent opportunity for an individual looking to grow their career in insurance claims, while building expertise in Group Insurance operations, customer communication, and claims analysis within a supportive, team-oriented environment. Key Responsibilities Claims Processing & Administration Prepare and organize files for new group claims, ensuring all required documentation is collected and accurate. Review, analyze, and process Group Life, Disability, and Waiver of Premium claims according to company policies and applicable regulations. Enter claims data accurately into the claims management system and maintain comprehensive, organized claim files. Review claim forms and submitted bills for accuracy and completeness, ensuring all required information is obtained. Evaluate claims applicability based on contract provisions, discrepancies in submitted information, and potential need for investigation. Identify and refer questionable or complex claims to appropriate resources for further review. Determine allowable benefits under company guidelines for routine claims and process accordingly. Customer Service & Communication Provide prompt, professional, and courteous service to clients, policyholders, and beneficiaries. Communicate effectively with clients and internal departments to gather documentation, clarify claim details, and resolve inquiries. Collaborate with underwriting, legal, compliance, and other departments to resolve complex or escalated claims. Support the identification and review of potential fraudulent claims, escalating appropriately when necessary. Ensure accurate, timely communication throughout the claim lifecycle to deliver a positive and transparent customer experience. Compliance, Reporting & Continuous Improvement Maintain a current understanding of company products, policies, and industry regulations to ensure compliant claims handling. Utilize claims management software and analytical tools to streamline processes and enhance accuracy. Assist in identifying trends and patterns in claims data to recommend process improvements. Support internal reporting, documentation, and process reviews as needed to maintain accuracy and operational efficiency. Qualifications & Experience H.S. Diploma or GED equivalent, required. Bachelor’s degree in a related field or equivalent work experience preferred. Excellent attention to detail, accuracy, and organizational skills. Strong communication and interpersonal abilities for interacting with clients and team members. Basic knowledge of insurance products, claims operations, or financial services. Proficiency with claims management software and Microsoft Office applications. Strong problem-solving and analytical thinking skills with a focus on quality and customer service. Normal office environment. Periodic travel may be required. Pay Range: $21.00 - $33.00/hr. Salary is commensurate to experience, location, etc. Horace Mann was founded in 1945 by two Springfield, Illinois, teachers who saw a need for quality, affordable auto insurance for teachers. Since then, we’ve broadened our mission to helping all educators protect what they have today and prepare for a successful tomorrow. And with our broadened mission has come corporate growth: We serve more than 4,100 school districts nationwide, we’re publicly traded on the New York Stock Exchange (symbol: HMN) and we have more than $12 billion in assets. We’re motivated by the fact that educators take care of our children’s future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future. Our tailored offerings include special rates and benefits for educators. EOE/Minorities/Females/Veterans/Disabled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status For applicants that are California residents, please review our California Consumer Privacy Notice All applicants should review our Horace Mann Privacy Policy

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Responsibilities

The Group Claims Associate will support the end-to-end processing and administration of Group Life, Disability, and Waiver of Premium claims. This includes ensuring claims are reviewed accurately, processed efficiently, and managed in compliance with company policies and regulatory requirements.