LFG Jobs – Claims Specialist

Website Lincoln Financial

Job Description:

As a Claims Specialist, you will serve as the primary point of contact for individuals who have a claim under a group policy. You will be responsible for serving as a subject matter expert and guiding them through the claims process using excellent customer service and problem-solving skills to create a positive experience.

Job Responsibilities:

  • You will process complex claims for payment or denial in accordance with established procedures and guidance ensuring that the claimant is updated in a timely manner by demonstrating flexibility/responsiveness to meet customer needs on routine work independently.
  • You will act as the main point of contact communicating through email/phone with external stakeholders including medical professionals and employers to obtain necessary documents/medical information related to the claim. In addition, you will inform employers on the status of their employee and any anticipated changes based on the claim.
  • Identify, recommend and champion process improvements and organizational initiatives to positively influence the team and quality.
  • Create transparency with individuals by providing detailed information about the claims process including policy coverage and utilization, while recognizing what needs to be done to meet customer expectations.

Job Requirements:

  • Ability to be adaptable/flexible as business needs change.
  • High School Diploma or GED.
  • Ability to maneuver through multiple systems/databases/platforms/software.
  • Effective strong written and verbal communication skills.
  • Research and data entry experience in a fast-paced environment.
  • 0-1+ Years of claims experience with an Associates Degree or above OR 2-3 years of claims experience that directly aligns with the specific responsibilities for this position and no degree.
  • Ability to problem solve and make independent decisions, while providing compassionate customer service.

Job Details:

Company: Lincoln Financial

Vacancy Type: Full Time

Job Location: Dover, NH, US

Application Deadline: N/A

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