Claims Representative, Group Membership Association Division

Location Designation: Hybrid - 6 days per month
Work Schedule and Location: This is a hybrid position based out of our White Plains, NY office. Team members are expected to work onsite one day per week (Wednesdays), with one additional onsite day per month for team meetings or business activities.
Business Unit
As part of New York Life's Group Membership Association Division, you'll be working with the nation's No. 1 provider of life and disability income insurance solutions for association/affinity programs. Beyond the tailored life and disability income insurance solutions you provide, your work fosters a sense of community and shared support within affinity groups.
Role Overview
The Claims Representative supports the Group Membership Association Division (GMAD) Claims team by ensuring the accurate and timely intake, documentation, and setup of insurance claims. This role is responsible for processing incoming correspondence, maintaining claim records, and coordinating with third-party administrators to obtain complete and accurate claim information. Working across multiple claims and imaging systems, the Claims Representative helps maintain efficient workflows and supports the timely processing of claims. This position also provides administrative support to claims examiners and delivers responsive, professional service to members and internal and external partners.
What You'll Do

• Manage claims intake and documentation by processing incoming mail, emails, faxes, and scanned documents, ensuring accurate indexing, routing, and organization within claims imaging and workflow systems.
• Establish and maintain new claims across multiple insurance products, including Short Term Disability, Long Term Disability, Office Overhead Expense, Critical Illness, Hospital Indemnity, and Rabies, ensuring accurate data entry, coding, and timely processing.
• Coordinate with third-party administrators and other stakeholders to obtain required claim forms, verify eligibility documentation, resolve missing information, and support complete and accurate claim submissions.
• Support daily claims operations by maintaining claim forms, assignment records, departmental contact information, and correspondence while assisting claims examiners with administrative requests and claims-related activities.
• Deliver responsive customer service by communicating professionally with members, claimants, administrators, and other stakeholders, addressing inquiries, and supporting timely resolution of routine claims-related issues.

What You'll Bring
Required Skills

• High school diploma or GED
• Up to 2 years of relevant experience in customer service, administrative support, insurance operations, or a related field.
• Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access, with the ability to navigate multiple systems and accurately enter and maintain information.
• Strong organizational skills and attention to detail, with the ability to manage multiple priorities, maintain accurate records, and meet daily deadlines.
• Analytical and problem-solving skills, including the ability to review documentation, identify discrepancies, and resolve routine issues using established procedures and guidelines.
• Effective written, verbal, and telephone communication skills, with a strong customer service focus and the ability to collaborate with claimants, administrators, physicians, attorneys, and internal business partners.

Preferred Skills

• Associate's degree
• 2 or more years of relevant experience in customer service, administrative support, insurance operations, or a related field.
• Familiarity with claims management systems, document imaging platforms, electronic workflows, or records management processes.
• Understanding of disability insurance, supplemental health insurance, or other group insurance products.

Pay Transparency
Salary Range: $41,000-$54,000
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.
Company Overview
At New York Life, our 180-year legacy of purpose and integrity fuels our future. As we evolve into a more technology-, data-, and AI-enabled organization, we remain grounded in the values that drive lasting impact.
Our diverse business portfolio creates opportunities to make a difference across industries and communities-inviting bold thinking, collaborative problem-solving, and purpose-driven innovation. Here, you'll find the rare balance of long-standing stability and forward momentum, supported by an inclusive team that honors tradition while embracing progress.
As a Fortune 100 mutual company, we offer a place to grow your skills, contribute to meaningful work, and deliver solutions that matter. Your ideas drive what's next, and your growth powers it.
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 hereto discover more about our comprehensive benefit options or visit our NYL Benefits Site.
Our Commitment to Inclusion
At New York Life, fostering an inclusive workplace is fundamental to who we are and how we serve our communities. We have a longstanding commitment to creating an environment where individuals can contribute their best and succeed together. This foundation is rooted in our core values of humanity and integrity, ensuring that every employee feels valued and supported. By embracing a broad range of perspectives and experiences, we achieve greater success and fulfill our promise of providing financial security and peace of mind to families across all communities. Click here to learn more about New York Life's leadership in this space.
Recognized as one of Fortune's World's Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation. 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 New York Life, please visit the Careers page of www.NewYorkLife.com.
Visit our LinkedIn to see how our employees and agents are leading the industry and impacting communities.
Visit our Newsroom to learn more about how our company is constantly evolving to meet our clients' and employees' needs.
Job Requisition ID: 95262
#BI-Hybrid