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Life Claims Examiner

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 #56551

 


About the Company

 

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas — Life Insurance, Annuities, Retirement Plan Services and Group Protection — focus on supporting, preserving and enhancing over 17 million customer’s lifestyles and retirement outcomes.

 

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $253 billion in assets under management as of December 31, 2017.

 

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

 

The Role

This position will perform and deliver on routine and non-routine assignments for his/her assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines. S/he will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims.

Responsibilities

  • Investigates, evaluates, interprets and determines life claims with sound and impartial claim

    judgments based on contract language and policy provisions.

  • Investigate the data on the claim form and other documents, such as death certificate, amount of coverage, type of coverage, beneficiary, name, address, age, etc.
  • Reads and correctly interprets life insurance contract, medical records, police reports, etc.
  • Obtains claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions.
  • Processes assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
  • 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.
  • Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.
  • Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.).
  • Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.
  • Remains current in profession and industry trends.

Education & Experience

  • 2 - 3 Years of claims experience that directly aligns with the specific responsibilities for this position OR For candidates with an Associates Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position.(Required)
  • High School or GED (Minimum Required)

 

 


This position may be subject to Lincoln’s 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 Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information.  Applicants are evaluated on the basis of job qualifications.  If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

 





Job Details

Date Posted October 30, 2018
Date Closes November 29, 2018
Requisition 56551-en_US
Located In Omaha, NE
Department Risk Management
SOC Category 00-0000.00
Location