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Lincoln Financial Employment – Life Claims Specialist

Lincoln Financial

Job Description:

This position will perform and deliver on routine and progressively more non-routine assignments for his/her assigned claims area(s) independently in accordance with established procedures / guidelines. S/he will process complex claims ensuring the fair, ethical and timely processing of assigned claims. In addition, s/he will enable less experienced team members to perform his/her assignments. This position can be 100% remote.

Job Responsibilities:

  • Focuses claim activities on managing claim duration and mitigating risk & financial liability as per contractual provisions, while ensuring compliance with applicable regulations & company policies.
  • Independently identifies and applies special handling provisions.
  • Ensures the accuracy and completeness of submitted claims.
  • Meets or exceeds departmental quality and service standards.
  • Conducts initial and ongoing claimant interviews and appropriately updates claim file/documentation.
  • Acts as the first point of contact for escalated issues coming in to his/her work group to provide resolution. Escalates issue to his/her manager when needed.
  • Follows processes for consistent case management, including creation and maintenance of action plans that outline timing of follow-up activities and key decisions to effectively administer policy provisions.
  • Makes routine and progressively more non-routine decisions independently, in accordance with established procedures and guidelines.
  • Independently reviews and interprets complex policy provisions to assess eligibility and render claims decisions based on contractual definitions. Processes complex claims, seeking appropriate resources as needed.
  • Identifies benefit discrepancies and completes complex adjustments as needed.
  • Obtains complex information needed (e.g. financial and medical records, etc.) to make claim determinations and accurately calculate complex benefits, seeks second-level review as needed

Job Requirements:

  • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
  • Demonstrates ability to work in a fast-paced environment.
  • Finds common ground and can gain collaboration among management, colleagues and peers.
  • Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
  • Successfully completes regulatory and job training requirements.
  • Ability to perform under stress in cases of emergency, critical or hazardous situations.
  • High School or GED-Minimum Required in or minimum Associates Degree in lieu of required experience.
  • Demonstrates strong interpersonal skills with a collaborative style.
  • Demonstrates the ability to use sound judgment and discretion regarding confidential information.
  • Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers).
  • Ability to work with others in a team environment.

Job Details:

Company: Lincoln Financial

Vacancy Type:  Full Time

Job Location: Dover, NH, US

Application Deadline: N/A

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