Claim Analyst 3

Principal Financial Group • Des Moines, IA

7d • Hybrid

About The Position

As a Claim Analyst 3 on our individual disability team, your day will be anything but routine. This is a small team with a collaborative environment, every single day offers new challenges and the ability to use your excellent analytical, communication and customer service skills to assist with our client’s disability claims - all during a time in which they may be facing major changes in life.

Requirements

• High school diploma or equivalent plus 6+ years work experience.
• Ability to maintain a high degree of accuracy and pay strict attention to detail.
• Must be able to work in a team environment.
• Good analytical, interpersonal, problem solving and decision-making skills.
• Ability to maintain confidentiality.
• Good verbal and written communication skills (must be able to connect with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals).

Nice To Haves

• Bachelor’s degree or associate degree with legal and or medical terminology, or prior Life and Disability claim experience preferred.

Responsibilities

• Review, analyze, manage, and make appropriate and accurate decisions on Life and/or Disability claims in accordance to policy and state/federal law and regulations.
• Mentor, counsel, and provide feedback and assistance to others.
• Analyze, investigate, and adjudicate disability claims after determining information needed and acquiring all appropriate information.
• Analyze medical, vocational, and financial information to make effective and timely claim decisions. This includes having an in-depth knowledge of claim procedures, product design, contract provisions, state laws and recognition of rehabilitation and Social Security potential.
• Maintain fully detailed claim file providing a clear and understandable audit trail required for compliance and legal purposes.
• Identify and refer claims to other resources (senior claims personnel, Medical, Law, etc) with appropriate action plan and questions.
• Connect with clients regarding medical conditions, restrictions & limitations, disability policy provisions, claim decisions, and all other aspects of the claim process.
• Optimally manage caseload as well as assist others in coordinating, setting priorities, providing feedback and supervising their caseload to ensure company and state/federal requirements are met.
• Provide technical insight and be a resource to internal staff and others outside the claim function for claim contract issues.
• Counsel Team members, providing guidance in claims administration.
• Serve as consultant to underwriters, customer service, and producers regarding the administration of policy provisions.
• Perform other job-related duties and special projects as the need arises.

Benefits

• Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period. Employees can use their PTO for vacation, personal or short-term illness.
• Pension Eligible

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED