Claims Specialist - Hybrid (3 days in the office)

Swiss ReFort Wayne, IN
2d$84,000 - $140,000Hybrid

About The Position

This Claims Specialist position has responsibility for handling Mortality, while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution of mortality, group life, accidental death, disability income, and wavier of premium claims

Requirements

  • 3 years’ experience handling mortality claims, with some of this experience in a paperless environment.
  • Excellent customer service skills and experience collaborating with underwriters, clients, brokers and internal and external business partners.
  • Strong data analytic skills to include recognizing trends or patterns within claims.
  • Interest in developing leadership and management skills
  • Bachelor's degree or equivalent industry experience

Nice To Haves

  • Experience with complex mortality claims a plus

Responsibilities

  • Investigate, evaluate and settle claims, applying technical knowledge and people skills to effect fair and prompt claim resolution.
  • Complete detailed reviews of claim related issues, document the claim file appropriately.
  • Set and maintain appropriate and timely claim reviews and consultations for clients
  • Maintain strong client focus by aggressively and proactively researching issues, providing support and assuring client satisfaction in a timely fashion.
  • Support Underwriting team needs for Claim information and consultation on coverages.
  • Provide quality claims input to the business as required e.g. changes to philosophy and best practice standards
  • Support developing technical expertise e.g. participation in claim seminars, training and audits
  • Contribute required claims information for business reporting purposes
  • Contribute to business projects and initiatives ensuring relevant claims issues are considered in broader based company activities
  • Support development on processes/systems where required
  • Adhere to risk management guidelines and practices

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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