Claims Associate - Individual Life

OneAmerica Financial•Indianapolis, IN

27d•$22 - $36•Hybrid

About The Position

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives! The Individual Life Claims Associate is responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Job Summary Responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Individual Life Claims Associate is responsible for:

Requirements

High School Diploma or GED. Bachelor's Degree preferred in Business Management, Operations Management, Statistics, or Insurance. Prior experience within a claim operation is preferred. Knowledge of insurance administration terms and processes are a plus. Desired minimum of 2-4 years’ work experience.
Customer Service, and experience working with Microsoft applications
Or any combination of education and experience which would provide an equivalent background

Nice To Haves

LOMA

Responsibilities

Reviewing and processing Individual Life Claims
Clearing outstanding accounting
Clearing up eligibility issues
Performing adjustments
Level II Associates may train, mentor, and audi less experienced associates.
Level II Associates may work with escalating claim issues with minimal leadership consultation including taking on escalated calls
Effectively, accurately and timely communicate/collaborate with internal and external customers in accordance customer service protocols.
Independently investigate, collect, examine information to determine claim direction to make accurate, impartial claim determinations based on facts, policies, regulations, and department procedures, for claims including those of a complex nature.
Appropriately and independently use problem solving measures and discretion to investigate claims by utilizing appropriate investigative tools.
Correctly calculates and processes claim benefit payments due within authority level.
Prepares quality communication to agents, policy owners, insureds, beneficiaries, policyholders, medical providers, or other customer and business relationship parties.
Identify, understand, and appropriately refer matters to legal counsel or escalates claim issues with minimal leadership consultation.
Maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. Completes correct accounting transactions and clearing according to departmental procedures.
Demonstrate EWA and support of the OneAmerica Ways.