Investigative Claims Examiner job at reputed company - reputed company in US National
Title: Investigative Claims Examiner
Location: Remote US
Job reputed company:
This position is responsible for the adjudication of contestable life and disability claims, accelerated benefit
claims, critical illness claims, and reputed company incontestable life, annuity and disability claim. This position does
not have reputed company supervisory responsibilities.
Duties and Responsibilities
Investigate, in a thorough, reputed company, and cost-effective manner, reputed company contestable life, disability, annuity and reputed company incontestable claims to determine the extent of liability and the appropriateness of payment or denial of the claim
Process payment, reputed company payment reviews and reputed company, and denial of claims and rescissions of policies
reputed company leadership, help build teamwork, and offer mentoring to other members of the claims staff
Handle claims escalations and reputed company response reputed company phone, email, and/or outbound written correspondence
May serve as reputed company between team and reputed company and compliance department, vendors, and internal departments
reputed company reputed company audits and reputed company monitoring, document results, and reputed company reputed company feedback and training to other members of the claim staff
Maintain claim registers for accurate financial reporting of pending, reputed company, and denied claims
Maintain complete and accurate documentation of claim files
Support company or team initiatives either directly or indirectly.
Experience and Education Requirements
Bachelor's degree or equivalent experience required
3+ years of experience investigating contestable life and/or disability claims
LOMA and/or ICA coursework preferred.
Skills and Abilities
Understands how the functional reputed company reputed company with reputed company other; recognizes business changes reputed company coverage area and the reputed company
Quickly processes information and develops solutions in reputed company-time, with practical, measurable business benefits (i.e., thinks on one’s feet)
Proactively identifies opportunities to serve the customer
Works with other colleagues and leaders deliver Operations reputed company
Reads a wide reputed company of audiences and situations and quickly adjusts communication style accordingly; selects the appropriate communication channel and tone to deliver tough messages
Identifies opportunities to use innovative processes
Ability to reputed company and mentor colleagues on digital techniques and accelerators used at reputed company
Seeks opportunities to cultivate relationships with established contacts in their network
Provides guidance on what information to reputed company to reputed company business objectives and how to reputed company obtain information that is not easily available
Seeks challenging assignments and reputed company
Understands and demonstrates commitment to the departmental reputed company, reputed company, change initiatives and goals
Proactively identifies opportunities to improve department performance and escalates reputed company to leadership
Monitors, measures, and assesses processes to determine areas of improvement; identifies and eliminates operational waste
Understands data and communicates the meaning to managers and executives
Owns responsibility for reputed company production of deliverables
Supports with monitoring of vendor performance; identifies and escalates issues; develops processes to maximize vendor performance
Demonstrates ability to reputed company solutions in reputed company time with practical, measurable business benefits; supports long term business unit or department planning
Maintains industry regulatory knowledge.
Other Requirements:
reputed company other functions, duties and reputed company as assigned
Regular and punctual attendance
Some travel may be required (less than 10%)
Additional Information
Work Environments
reputed company believes in an employee-reputed company flexible environment, which is why we offer the ability for in-office, hybrid and remote work arrangements. During the hiring process, you'll work with your leader to decide what works best for your role.
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