Claims Examiner Intermediate

OneMain Financial • Fort Worth, TX

75d

About The Position

In this role, you will evaluate claims against eligibility requirements, provisions and applicable processes. You will enter data into appropriate processing systems, including correspondence with internal and external customers. You will also research additional information to support claim processing, perform benefit calculations, and conduct claim investigations. Occasional special projects, participation in departmental meetings and training activities, and processing incoming and outgoing mail are also part of the role. Other duties as assigned.

Requirements

• High School or GED Required
• 2+ year of general work experience
• 6 months or more claims experience preferred
• Basic math skills
• Familiar with PC Environment
• Sound judgment, verbal and written communication skills
• Manage positive customer relationships
• Ability to evaluate claims against eligibility requirements

Responsibilities

• Evaluate claims against eligibility requirements, provisions and applicable processes.
• Enter data into appropriate processing systems, including correspondence with internal and external customers.
• Research additional information to support claim processing.
• Perform benefit calculations.
• Conduct claim investigation.
• Occasional special projects.
• Participate in departmental meetings and training activities.
• Process incoming and outgoing mail.
• Other duties as assigned.

What This Job Offers

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