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Benefits Analyst - Long-Term Disability

Lincoln Financial Group Omaha, NE
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Job Description


Alternate Locations: Omaha, NE (Nebraska)

Relocation assistance is not available for this opportunity.

Requisition #55202

About The Company

Lincoln Financial Group provides advice and solutions that help empower Americans to take charge of their financial lives with confidence and optimism. Today, more than 17 million customers trust our retirement, insurance and wealth protection expertise to help address their lifestyle, savings and income goals, as well as to guard against long-term care expenses. Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE:LNC) and its affiliates. The company had $222 billion in assets under management as of March 31, 2015.

The Role

As a Long Term Disabilities Claims Examiner, you will have the overall responsibility for managing long-term disability claims in an ethical manner, ensuring quality decisions, accurate time calculations, and proactive communication with claimants and employers. You will have the responsibility to facilitate the timely transfer of long-term disability claims, without interruption or delay in decision time.  You will be expected to deliver a very high level of consultative customer service.

 

 

Functional Responsibilities

 

Claims

  • Investigates, evaluates, interpreters and makes determination of long-term disability claims with sound and impartial claim judgments, using appropriate duration guidelines when necessary.
  • Processes increasingly complex assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
  • Prioritizes and balances claims in an efficient manner while maintaining productivity, quality, and time service requirements, as outlined by senior management.
  • Provides routine responses and a diverse range of information to junior team members’ questions to support organizational capabilities.
  • Investigates and determines the outcome of disability claims with sound and impartial judgement using available resources such as vocational and  medical information. 
  • Reviews increasingly complex submitted claim information for payment and ensures the accuracy and completeness of submitted claim information.

Decision Making

  • Investigates, evaluates, interpreters and makes determination of long-term disability claims with sound and impartial claim judgments, using appropriate duration guidelines when necessary.
  • Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions
  • Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge
  • Prioritizes and balances claims in an efficient manner while maintaining productivity, quality, and time service requirements, as outlined by senior management.
  • Investigates and determines the outcome of disability claims with sound and impartial judgement using available resources such as vocational and  medical information. 
  • Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customers service experience, and suggests process improvements.

Customer Service

  • Communicates with claimants, policyholders, attorneys, physicians and brokers directly either orally or written.
  • Resolves claim-specific issues while maintaining internal and external customer satisfaction.
  • Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.

 

Education

 

  • High School Diploma or GED

 

Experience

 

  • 2-3 yrs of experience in insurance claims that directly aligns with the specific responsibilities for this position OR For candidates with an Associate’s Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position.
  • 0-1 yrs of insurance policy contracts experience
  • Proficiency with Microsoft Office Suite
  • A demonstrated track record of consistently meeting and/or exceeding performance expectations
  • Possesses a bias for action and avoids workplace distractions
  • Drives performance targets to completion


This position may be subject to Lincolns Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.













Job Details

Date Posted June 14, 2018
Date Closes July 14, 2018
Requisition 55202-en_US
Located In Omaha, NE
Department Insurance Claims
SOC Category 00-0000.00
Location