Develops and administers benefit and claims policies and procedures by investigating, compiling, recording, and analyzing data to make claim determinations. Communicates with customers, home office staff, field personnel, and third-party representatives to provide case background, status, reasoning, and disposition. Processes claims settlements and beneficiary-requested claim options in accordance with contract provisions, applicable regulations, and department standards. Explains claim options, required documentation, and special circumstances, and provides customer service to beneficiaries, clients, and advisors. The position also supports the Claims line, email inquiries, and written correspondence. This position has a hybrid working arrangement. Associates within a 90-minute commute work in the office at least two days each month and for additional moments that matter, with flexibility for business and personal schedules.
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Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed