Contact:
www.lfg.com/careers
8801 Indian Hills Drive
Omaha, NE 68114
Life/Waiver Benefits Specialist
Lincoln Financial Group
Lincoln Financial Group
Claims Support - Life Customer Operations
2 Positions Available
Work at 8801 Indian Hills Drive
Work in Omaha, Nebraska
Start asap
40 hours per week free on-site parking
8:00am
to
5:00pm
On-Site Fitness Center
-
M-F
Equal Opportunity Employer
Life/Waiver Benefits Specialist
Position Description
Responsible for the investigation, evaluation, interpretation and payment/denial of Life and AD&D (or Life Waiver) claims with sound and impartial claim judgments and with guidance. Possess effective communication skills to interact with beneficiaries, policyholders, attorneys, physicians and brokers directly either orally or written. May act as a resource to our Legal department as it relates to compliance, legislative, legal and regulatory issues. Responsible for internal and external customer satisfaction in the resolution of claim-specific issues.
Essential Skills and Duties:
- Must be able to effectively explain claim situations with guidance
- Must be able to interpret contract wording/provisions/amendments
- Must be decisive and action oriented with claims direction.
- Must be able to interpret Medical Records
- Maintain turnaround time standards on all claims and follow ups
- Maintain required quality levels
- Complete benefit specialist training program and pass Proficiency Exam
- Must be able to problem solve/make decisions independently
- Successfully resolve internal/external customer's issues
- Understand ERISA language/California code
Core Competencies:
- Results – Consistently completes assigned tasks and meets deadlines exceeding expectations of supervisor. Analyzes problems and makes well-reasoned, sound decisions. Plans, organizes and prioritizes workload to make best use of resources. Displays drive and initiative. Leads change and can translate business strategy into specific goals.
- Customer Focus – Viewed as business partner by customer. Able to independently anticipate and act upon internal and external customer needs. Deals effectively with changes in priorities, unexpected events or unanticipated demands. Delivers service that consistently exceeds quality standards.
- Communication Skills – Candid, clear and concise in communication. Effectively matches style, tone and method to audience. Listens and often asks appropriate questions when necessary. Communicates information to others in a positive and professional manner. Exemplifies confidence when communicating with all levels of management.
- Teamwork – Accepts responsibility as a team member and works to create high morale. Actively attentive to the concerns of others and the development of their potential. Interacts successfully with people of all levels. Effectively delegates work and responsibility to achieve positive results.
- Job Knowledge – Outstanding knowledge in job and/or department. Constantly strives to gain additional expertise. Seeks out assignments or opportunities to broaden or strengthen skills. Uses knowledge in creative and effective manner. Inspires others to stay current in technical expertise.
Education/Experience/Skills: (List minimum requirements)
· College degree or equivalent work experience is required.
· One to two years life or health insurance work experience is preferred.
· Able to read and correctly interpret a life contract is preferred.
· Strong knowledge of IBM software programs including but not limited to:
Word-processing Software
Spreadsheet Software
E-Mail
· Medical terminology is necessary.
· Completion of Group HIAA, LOMA, ICA and other industry courses are desirable.
· Strong math skills are necessary.
· Able to use logic, accuracy and strict attention to detail is necessary.
· Excellent oral and written communication skills are required.
· Regular and predictable attendance is required
Life/Waiver Benefits Specialist
This position has been listed under the following classifications:
[Data Entry ]
[Benefits ]
[Compliance ]