Group Benefits Life Claims Examiner
Company Name:
Liberty Mutual
Title: Group Benefits Life Claims Examiner
Location: NH-Dover
Other Locations:
Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company!
Group Benefits is searching for a Group Life Claims Examiner. In this role, you will ensure the accuracy and timeliness of the claims adjudication process, as well as ensure all contractual obligations with our clients are met. The right candidate will bring strong interpersonal and organizational skills, an eye for detail, and a passion for providing quality execution.
Responsibilities:
Review, investigate and make payment determination on group life claims. Apply appropriate contractual provisions which may include and payment calculations. Provide secondary claims review and payment approval support for Claims team.
Ensure compliance with all state and federal regulations (HIPAA, NAIC and ERISA), legal guidelines (which may include reviewing/interpreting individual state statutes; e.g., UTMA Guidelines, Trusts, Estates, Divorce Decrees, Accelerated Death Statutes, ACLI Interest Requirements), and internal claim management procedures. Exercise independent judgment to make decisions on rule application.
Use claims system, databases, census, OFAC, as well as applicable state lien checks, to manage and pay claims while meeting all service, timeframe, and productions standards.
Organize and manage assigned workload to meet productivity, quality, and time service standards. Maintain detailed knowledge of claims practices, policies and procedures. Work independently on escalated issues.
Communicate with internal resources as needed, including Compliance and Legal departments. Communicate with external parties such as beneficiaries, underwriters, medical professionals, third-party investigators, law enforcement personnel, and reinsurers to gather information and reach a decision regarding the claim.
Qualifications:
Bachelor''s degree in a business-related discipline or equivalent relevant experience required and at least three years' progressively responsible experience in an insurance claims, contract-oriented customer service, or legal environment.
Excellent analytical and decision making skills.
Excellent time management and organizational skills to independently organize and prioritize workload.
Effective interpersonal, oral and written communication skills to develop/maintain relationships with colleagues, clients, beneficiaries and internal company contacts.
Knowledge of and experience with applying Group Life policies/practices and interpreting Group Life contracts/benefit provisions, as well as general knowledge of Group Benefit products preferred.
Proficiency with Microsoft Office software applications (e.g., Excel, Word).
Benefits:
We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:
401K and Company paid pension plan
Medical coverage
Dental coverage
Paid time-off
Pay-for-Performance
Discounts on automobile and homeowner''s insurance
Discount fitness memberships
Flexible spending accounts
Tuition reimbursement
Vision care coverage
Work/Life resources
Credit Union membership
Employee and Dependent life insurance
Disability insurance
Accidental death & dismemberment insurance
Overview:
We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.
We believe that the Company''s success is inextricably linked to our employees'' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.
We believe our employees take pride in knowing that they help people live safer more secure lives everyday.
Responsibility. What''s your policy?ClaimsEstimated Salary: $20 to $28 per hour based on qualifications.
Liberty Mutual
Title: Group Benefits Life Claims Examiner
Location: NH-Dover
Other Locations:
Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company!
Group Benefits is searching for a Group Life Claims Examiner. In this role, you will ensure the accuracy and timeliness of the claims adjudication process, as well as ensure all contractual obligations with our clients are met. The right candidate will bring strong interpersonal and organizational skills, an eye for detail, and a passion for providing quality execution.
Responsibilities:
Review, investigate and make payment determination on group life claims. Apply appropriate contractual provisions which may include and payment calculations. Provide secondary claims review and payment approval support for Claims team.
Ensure compliance with all state and federal regulations (HIPAA, NAIC and ERISA), legal guidelines (which may include reviewing/interpreting individual state statutes; e.g., UTMA Guidelines, Trusts, Estates, Divorce Decrees, Accelerated Death Statutes, ACLI Interest Requirements), and internal claim management procedures. Exercise independent judgment to make decisions on rule application.
Use claims system, databases, census, OFAC, as well as applicable state lien checks, to manage and pay claims while meeting all service, timeframe, and productions standards.
Organize and manage assigned workload to meet productivity, quality, and time service standards. Maintain detailed knowledge of claims practices, policies and procedures. Work independently on escalated issues.
Communicate with internal resources as needed, including Compliance and Legal departments. Communicate with external parties such as beneficiaries, underwriters, medical professionals, third-party investigators, law enforcement personnel, and reinsurers to gather information and reach a decision regarding the claim.
Qualifications:
Bachelor''s degree in a business-related discipline or equivalent relevant experience required and at least three years' progressively responsible experience in an insurance claims, contract-oriented customer service, or legal environment.
Excellent analytical and decision making skills.
Excellent time management and organizational skills to independently organize and prioritize workload.
Effective interpersonal, oral and written communication skills to develop/maintain relationships with colleagues, clients, beneficiaries and internal company contacts.
Knowledge of and experience with applying Group Life policies/practices and interpreting Group Life contracts/benefit provisions, as well as general knowledge of Group Benefit products preferred.
Proficiency with Microsoft Office software applications (e.g., Excel, Word).
Benefits:
We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:
401K and Company paid pension plan
Medical coverage
Dental coverage
Paid time-off
Pay-for-Performance
Discounts on automobile and homeowner''s insurance
Discount fitness memberships
Flexible spending accounts
Tuition reimbursement
Vision care coverage
Work/Life resources
Credit Union membership
Employee and Dependent life insurance
Disability insurance
Accidental death & dismemberment insurance
Overview:
We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.
We believe that the Company''s success is inextricably linked to our employees'' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.
We believe our employees take pride in knowing that they help people live safer more secure lives everyday.
Responsibility. What''s your policy?ClaimsEstimated Salary: $20 to $28 per hour based on qualifications.
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