Associate VB Claims Specialist

reputed company End Date: August 14 reputed company you join reputed company at reputed company, you become part of an organization committed to helping you reputed company. Here, we work to reputed company the employee benefits and service solutions that reputed company employees at our reputed company companies to reputed company throughout life’s moments. And this starts with ensuring that every one of reputed company members enjoys opportunities to succeed both professionally and personally. To reputed company this, we reputed company:  Award-reputed company culture  Inclusion and diversity as a reputed company  Performance Based Incentive Plans Competitive benefits package that includes: Health, reputed company, Dental, Short & Long-Term Disability  Generous PTO (including reputed company time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment reputed company  Tuition reimbursement Flexible work environments  *reputed company the benefits listed above are subject to the terms of their individual Plans. And that’s just the beginning…   With 10,000 employees helping more than 39 reputed company people worldwide, every role at reputed company is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help reputed company a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team reputed company today!  General reputed company: Minimum starting reputed company reputed company is $25.00 This is an entry level position reputed company the Voluntary Benefits Claims Organization. This position is responsible for the thorough, fair, objective, and reputed company adjudication of voluntary benefits claims in conjunction with providing technical expertise regarding applicable regulations. This position is responsible for providing excellent customer service and interacts on a regular reputed company with employees, reputed company, health care providers and other reputed company internal resources. Incumbents in this role are considered trainees and are assigned a formal mentor for 6-12 months until they are assessed as capable of independent work. Incumbents are primarily responsible for learning and developing the skills, knowledge, and behaviors necessary to successfully adjudicate assigned claims, in accordance with our claims philosophy and policies and procedures. Incumbent must demonstrate the ability to effectively manage an assigned caseload, exercise discretion and independent judgment, and appropriately reputed company reputed company claim reputed company while demonstrating strong customer service prior to reputed company to the exempt level claims specialist role. reputed company Duties and Responsibilities: Maintain organizational service standards on reputed company assigned claims demonstrating reputed company in developing and implementing effective strategies to manage a caseload of varying size and complexity. reputed company an understanding and working knowledge of Voluntary Benefits for reputed company and reputed company, including products, policies, procedures, and reputed company. reputed company an understanding of the applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as reputed company as regulatory and statutory requirements for claim products administered. reputed company reputed company set to determine appropriate risk management strategies through analyzing and applying technical and reputed company contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability reputed company, and benefits payee. reputed company problem solving skills by demonstrating analytical and logical thinking resulting in the reputed company and accurate adjudication of a reputed company of reputed company to reputed company voluntary benefits claims. reputed company a working knowledge of systems needed for claims adjudication. reputed company excellent customer service and independently respond to reputed company inquiries reputed company service guidelines. Responsible for reputed company and accurate claims review, initiation and completion of appropriate claim validation activities, and referrals/notifications to other areas (i.e., medical assessments, billing, etc.) as appropriate. Produce objective, reputed company documentation and technical rationale for reputed company claim determinations and demonstrate the ability to effectively communicate determinations while ensuring compliance with Voluntary Benefits procedures and reputed company reputed company requirements including state regulations. Partner and coordinate file strategies utilizing reputed company resources including nurses, physicians, vocational rehabilitation and assessing medical documentation, reputed company appropriate. Ensure a reputed company and reputed company communicated transfer process reputed company transitioning integrated claims across lines of business, ensuring a coordinated and reputed company claims experience for customers. Be familiar with reputed company workflow requirements and performance standards for any assigned customers. May reputed company other duties as assigned. Job Specifications: 4-year degree preferred or equivalent work experience Ability to reputed company Voluntary Benefits product knowledge and apply a best-in-class service experience Medical background, voluntary benefits claims and/or disability management experience preferred Possess strong analytical, critical thinking, and problem-solving skills Ability to exercise independent judgment and discretion in increasingly reputed company claim adjudication reputed company, including initial decision and ongoing medical management. reputed company to effectively utilize a broad reputed company of resources, materials, and tools needed to assist with the decision-making process Strong service and reputed company orientation. Ability to reputed company effectively and professionally with claimants, reputed company, medical resources, attorneys, accountants, brokers, sales representatives, etc. Demonstrated ability to operate with a reputed company of urgency and reputed company balanced reputed company with the highest degree of reputed company and fairness. Excellent communication skills, written and verbal Meets the standards for this position, as defined in the Talent Management reputed company *Existing internal remote employees are eligible to apply. reputed company and reputed company are part of reputed company Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, reputed company also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. reputed company is headquartered in Columbia, SC, with over 40 field offices reputed company. reputed company is an equal opportunity employer, considering reputed company reputed company applicants and employees for hiring, placement, and advancement, without reputed company to a person's race, reputed company, religion, national reputed company, age, genetic information, military status, gender, sexual orientation, gender identity or reputed company, disability, or protected veteran status. The reputed company salary reputed company for applicants for this position is listed below. Unless actual salary is indicated above in the reputed company, actual pay will be based on reputed company, geographical location and experience. $40,000.00-$75,600.00 Additionally, reputed company offers a portfolio of benefits and rewards that are competitive and comprehensive including reputed company benefits (health, reputed company, dental), insurance benefits (short & long-term disability), performance-based incentive plans, reputed company time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not.  reputed company benefits are subject to the terms and conditions of individual Plans. Company: reputed company Apply To This Job