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Claims Examiner, Voluntary Accident & Critical Illness

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 #58006


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 customers 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

As aVoluntary Accident & Critical IllnessClaims Examiner, you will have the overall responsibility for processing worksite Accident and Critical Illness 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 accident and critical illness 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 accident and critical claims including riders with sound and impartial claim judgments, using appropriate claims processing guidelines.
  • Prioritizes and balances claims in an efficient manner while maintaining productivity, quality, and time service requirements, as outlined by senior management.
  • Processes assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
  • Reviews and provides specific information to questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying core knowledge obtained for the role.
  • Reviews submitted claim information for payment and ensures the accuracy and completeness of submitted claim information.

Decision Making

  • Obtains needed increasingly 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.
  • Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's 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

  • 0-1 yrs 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.
  • 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.

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 November 30, 2018
Date Closes December 30, 2018
Requisition 58006-en_US
Located In Omaha, NE
Department Insurance Claims
SOC Category 00-0000.00
Location