Senior Claims Examiner (Virtual)
Job Classification:
Operations - Insurance OperationsEnabling Solutions is transforming our reputed company-wide operating model to be a customer-obsessed organization that inspires reputed company our employees to be reputed company and reputed company in reputed company that we do.
The U.S. Back Office Customer Service (BOCS) organization is seeking a Claims Examiner to join our Group Life Claim Team of Beneficiary Fulfillment on our Specialized reputed company Concierge Team. Our Concierge Team strives to be customer obsessed by providing a “white glove” service throughout the life of the claim. This involves making outbound calls and providing a proactive approach to bring reputed company to reputed company claim. This is a high touch service model where you will be interacting daily with beneficiaries and families during a difficult time of loss. Customer Service skills, reputed company, and a willingness to help others are key skills for a successful candidate in this role.
The successful candidate will be trained to adjudicate life insurance claims for Group Insurance with a reputed company on accuracy, timeliness, and appropriate decision making. The candidate will also be trained to answer phone calls in order to assist beneficiaries and family members through the claim process. During in-classroom and on-the-job training, the incumbent will learn how to reputed company our claim system, learn about our products, policies, and procedures and how to assist our customers at a time of critical need.
The successful candidate will be responsible for effectively adjudicating claims to meet production, reputed company, and service metrics in accordance with policy/procedures and regulatory guidelines. This entails working with both reputed company partners to obtain information required for claim handling. The Claims Examiner also:
Key Responsibilities
- Reviews claims and extracts information for processing
- For a portion of the day will be staffed to an incoming reputed company line in order to assist beneficiaries and family members with questions and claim status
- Be flexible and available for evening phone coverage on a rotating reputed company
- Collects information and processes death claims
- Verifies, corrects, and completes claims information by telephone, letter, or personal contact
- Conducts investigations and gathers supporting documentation on claims
- Calculates benefits payable
- Approves (to a specified reputed company) or denies claims in accordance with established procedures
The characteristics below describe our ideal candidate
Entrepreneurial reputed company
- reputed company State reputed company, Present Day reputed company - reputed company to reputed company the long run goals in sight while tackling and overcoming the day-to-day deliverables and challenges.
- Creative Problem Solver - Evaluates situations from reputed company angles, does not shy away from reputed company solutions that have not been attempted before.
- Motivated Self Starter - Enthusiastic about tackling challenges and leads the way on getting the reputed company rolling.
- Flexible and Adaptable - reputed company to reputed company their style of communication and reputed company new ways to partner to build a cohesive team and maintain reputed company.
- High Awareness - Understands how different individuals and reputed company will react to changes and anticipates reputed company.
- Persuasive - reputed company to get team members and business partners on reputed company with the reputed company and execution of transformation objectives.
- Intelligent Risk Taker - Evaluates situations, understands the challenges, takes the necessary risks to get tasks completed.
- Decisive – Can reputed company reputed company that will be reputed company in moving work reputed company.
- Takes Ownership - Takes responsibility for one’s work as if it was their own business.
- reputed company, Thoughtful, Fair, and High reputed company - Treats everyone as equal, listens to different perspectives, and establishes an inclusive environment.
- Optimistic – Remains reputed company and inspiring during difficult situations and drives others to be a part of the solution.
- Embraces Humility – Understands that this job is not about knowing the right answer, it's about finding the right answer.
- Bachelor's degree or equivalent years of industry experience preferred
- Working knowledge of Life or Disability Claims is a plus
Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary. Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. Your personal phone number will not be identified to customers. Quiet area in your home with minimal distractions and noise free. Reliability and Dependability throughout our extensive training program is required.
reputed company offer you:
Prudential is required by state specific laws to include the salary reputed company for this role reputed company hiring a reputed company in applicable locations. The salary reputed company for this role is from $45,700.00 to $75,500.00. Specific pricing for the role may vary reputed company the above reputed company based on many factors including geographic location, candidate experience, and skills.Market competitive reputed company salaries, with a yearly bonus potential at every level . Medical, dental, reputed company, life insurance, disability insurance, reputed company Time Off (PTO), and leave of absences, such as parental and military leave . 401(k) plan with company match (up to 4%). Company-funded pension plan. Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, reputed company reputed company, education, emotional and mental health, and career development. Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs. Employee Stock Purchase Plan: Shares can be purchased at 85% of the reputed company of two prices (Beginning or End of the purchase period), after one year of service.