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Disability Claims Examiner
Lincoln Financial Group
Phoenix, AZ, United States
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The Role
As a Long Term Disability Claims Examiner, S/he will perform and deliver on routine and non-routine assignments for his/her assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines. S/he will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims.
Responsibilities
• Ensures the accuracy and completeness of submitted claims.
• Escalates claims issues/concerns to senior team members and/or management.
• Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions.
• Processes increasingly complex assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
• Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.
• Provides routine responses and a diverse range of information to junior team members questions to support organizational capabilities.
• Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.
• Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge.
• Reviews increasingly complex submitted claim information for payment.
Education & Experience
• 2 - 3 Years of claims experience that directly aligns with the specific responsibilities for this position OR For candidates with an Associates Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position. (Required)
• High School or GED (Minimum Required)
Travel Information
• Travel Type : Regional Domestic
• Travel Amount : up to 10%