Claims Examiner II
About The Position
Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and timely processing of disability claims. The Claims Examiner II is expected to provide courteous and prompt response to customer inquiries.
Requirements
- Excellent oral and written communication skills.
- PC skills, including Microsoft Word.
- Typing ability of 45 wpm.
- Ability to learn all functions of claims processing software as is necessary for claims processing and adjudication.
- Must be able to adapt to software changes as they occur.
- Basic knowledge of disability claims practices.
- Basic mathematical skills.
- Strong interpersonal skills to work effectively with others, able to work in a team environment.
- Strong organizational skills.
- Strong analytical and interpretive skills.
- Ability to meet productivity standards with 99% financial accuracy.
- Ability to be flexible, work under pressure, and meet deadlines.
- Ability to occasionally work overtime as required.
- High School Diploma or equivalent.
- Five years of claims processing experience required, preferably disability.
Responsibilities
- Verifies the accuracy and receipt of all required documentation for each claim submitted.
- Evaluates claims for benefit payment according to policy provisions and assures that the system processes each claim correctly.
- Communicates with insureds, agents, providers, attorneys, and employers.
- Documents the claim and image systems in an accurate manner.
- Contributes to the daily workflow with regular and punctual attendance.
- Adheres to the Claims Department’s established time-in-process, production, and quality standards.
- Performs related or other assigned duties as required.
- Maintains a professional demeanor with internal and external clients, insureds, and all FTJ associates and affiliates.
Benefits
- company paid medical, STD, LTD and life insurance
- voluntary dental, vision, Life/AD&D insurance
- 401(k) with company-matching
- generous paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
101-250 employees
