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Manager
Lincoln Financial Group
Dover, NH, United States
Job Details - this job has expired, please see similar jobs below
The Role
This position 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
Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
• Meets or exceeds departmental quality and service standards.
• Works overtime as needed.
• Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.
• Makes routine and non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures and guidelines.
• Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role.
• Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services.
• 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.
• 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.
• Provides routine responses and a diverse range of information to junior team members’ questions to support organizational capabilities.
• 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.
• Reviews increasingly complex submitted claim information for payment.
• Ensures the accuracy and completeness of submitted claims.
• Escalates claims issues/concerns to senior team members and/or management.
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)
Certifications
"There is no Certification or Licensure Listed"