Claims Examiner
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Job Description
Claims Examiner reviewing and processing death claims for OSGLI. Managing pending claims and corresponding with various parties throughout the claims process.
Responsibilities:
- Manage a book of pending claims through effective time management to ensure timely payments
- Process decisions on claims through claim management system (Promise 360) and/or new business application (Compass)
- Approve and deny claim payments within authorization limits
- Render decisions on disability extension requests and traumatic injury claims within authorization limits
- Obtain necessary information for claim decisions from various sources including, but not limited to, the Veterans Administration, branches of service, beneficiaries, attorneys, and police departments.
- Correspond with claimants, law department, underwriting, Casualty Assistance Officers, attorneys, the Veterans Administration, and other interested parties through the life of a claim
- Prioritize work to ensure meeting of performance standards
- Other duties as assigned
Requirements:
- Bachelor's degree or equivalent military experience preferred
- 2 to 5 years of claims management experience preferred
- Strong customer focus skills with high ability to empathize with customers
- Ability to learn and retain a large amount of technical information
- Ability to analyze data on claims and make appropriate claim decisions
- Strong problem solving, strategic thinking and analytical skills
- Ability to prepare replies to claim inquiries
- Excellent PC skills and strong working knowledge of windows-based applications
- Proven self-motivation skills
- Excellent oral and written communications skills
- Partnership skills to excel in a team environment as well as work independently
- Ability to prioritize work and excel in a fast-paced, metric driven environment
- Excellent time management and organizational skills
- Attention to details a must
- Ability to work overtime based on work volumes
Benefits:
- Medical, dental, vision, life insurance, disability insurance
- Paid Time Off (PTO)
- Parental and military leave
- 401(k) plan with company match (up to 4%)
- Company-funded pension plan
- Wellness Programs including reimbursement for personal wellbeing needs (up to $1,600 a year)
- Work/Life Resources
- Education Benefit for college enrollment and accredited certificate programs
- Employee Stock Purchase Plan at 85% of lower price after one year of service
- Eligibility for discretionary annual incentive program based on individual and organizational performance
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