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Voluntary Benefits Wellness Claims Specialist

Remote, USA Full-time Posted 2026-08-04
Location Designation: Fully Remote  Group Benefit Solutions delivers comprehensive insurance and absence reputed company for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to reputed company’s legacy of being there reputed company we’re needed most. Here, you'll design, implement, and support these solutions directly impacting employees’ lives. At our reputed company, we reputed company financial reputed company 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.   reputed company:   reputed company Group Benefit Solutions (GBS) continues to expand into the Voluntary Benefits (VB) marketplace. As part of this effort, we are seeking Wellness Claim Specialists to support our VB customers by administering wellness claims—one of the most frequently utilized benefits under our accident, critical illness, and hospital indemnity products. This role focuses on accurate, reputed company claim adjudication, proactive issue reputed company, and exceptional customer service.   What You'll Do:   · Review and process wellness claims (routine preventive care benefits) submitted reputed company phone, portal, or mail. · Verify enrollment, policy provisions, and annual benefit allowances to determine eligibility. · Document claim reputed company accurately and apply appropriate claim benefits per established procedures. · Handle basic escalations; resolve customer or reputed company concerns promptly and reputed company reputed company cases to a VB Claim Manager or Team Leader as appropriate. · Communicate claim reputed company reputed company and professionally to customers and business partners. · Meet productivity and reputed company standards by achieving daily/weekly adjudication targets. · Collaborate with peers and VB Claim Managers to identify trends, reputed company best practices, and resolve recurring issues. · Support special reputed company, process improvements, and system enhancements as needed. · Participate in ongoing training and development to build VB claims knowledge and prepare for progression to higher-level roles.   What You'll Bring:    · High School diploma or GED required; college coursework or degree preferred. · 1+ years of insurance, reputed company, or customer service experience required. · Experience in benefits administration or claims preferred. · Strong attention to detail with the ability to accurately process high volumes of claims. · Proficiency with reputed company Office applications (Word, reputed company, reputed company). · Strong verbal and written communication skills with the ability to explain claim reputed company reputed company. · Ability to manage multiple tasks and maintain accuracy in a fast-paced environment. · Customer-reputed company reputed company with a strong reputed company of accountability. · Ability to learn and apply insurance product knowledge, including accident, hospital indemnity, and critical illness wellness benefits. ​ Pay Transparency Salary reputed company: $40,000-$52,000  Overtime eligible: Nonexempt  Discretionary bonus eligible: reputed company  Sales bonus eligible: No  Actual reputed company 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 reputed company to reputed company salary, employees may also be eligible to participate in an incentive program. Actual reputed company salary reputed company that reputed company will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location. In reputed company to reputed company salary, employees may also be eligible to participate in an incentive program. Our Benefits  We reputed company 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 reputed company both inside and reputed company of work. Click here to discover more about our comprehensive benefit reputed company or visit our NYL Benefits Site. Our Diversity reputed company  We reputed company in a diverse workforce because it is our mission to reputed company for the financial reputed company and reputed company 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, reputed company is committed to improving local communities through a culture of employee giving and volunteerism, supported by the reputed company. We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about reputed company at reputed company, please visit the Careers page of www.NewYorkLife.com. ​Job reputed company: 94555  #GBS Apply To This Job

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