Integrated Absence Claims Specialist

Employer: Lincoln Financial Group

Work Arrangement: Work from Home

Relocation assistance:: is not available for this opportunity.

Pay Range: $20.82 – $31.20

Bonus Potential:

Requisition #: 69880

General Purpose of Job

This position will perform and deliver on routine and progressively more non-routine assignments for their assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines. They will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims. In addition, they will enable less experienced team members to perform their assignments.

Duties and Responsibilities

Acts as the first point of contact for escalated issues coming in to their work group to provide resolution. Escalates issue to their manager when needed.

Ensures the accuracy and completeness of submitted claims.

Makes routine and progressively more non-routine decisions independently, in accordance with established procedures and guidelines.

Meets or exceeds departmental quality and service standards.

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.

Performs a diverse range of tasks/transactions related to common programs and services by directly applying expanded knowledge obtained from the role in increasingly more complex situations.

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 independently.

Provides responses and a diverse range of claims information to team members’ less routine questions without supervision.

Recognizes increasingly complex issues/concerns for assigned area(s) of responsibility, explains effect on the customer’s service experience, and suggests process improvements.

Reviews and processes increasingly complex assigned claims for payment or denial independently in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.

Reviews and provides information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) without supervision in accordance with established procedures and guidelines.

Shares a diverse range of knowledge and information and/or enables less experienced team members to perform their assignments.

Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.

Works independently delivering on routine but progressively more non-routine work, in accordance with established procedures and guidelines in a timely manner and meets deadlines appropriately.

Works overtime as needed.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.

Makes a positive contribution as demonstrated by: – Making suggestions for improvement – Learning new skills, procedures and processes

Performs other duties as required.

Remains current in profession and industry trends.

Other Skills and Abilities

Ability to perform under stress in cases of emergency, critical or hazardous situations.

Ability to work with others in a team environment.

Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers).

Demonstrates ability to work in a fast-paced environment.

Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.

Demonstrates strong interpersonal skills with a collaborative style.

Demonstrates the ability to use sound judgment and discretion regarding confidential information.

Finds common ground and can gain collaboration among management, colleagues and peers.

Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Successfully completes regulatory and job training requirements.

Education

High School or GED- Minimum Required in or minimum Associates Degree in lieu of required experience.

Experience

3 – 5+ Years of claims experience aligned with the responsibilities for this position ORFor candidates with an Associates Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position. (Required )

APPLY HERE