Lincoln Financial Field Jobs – Claims Specialist

Job Description:

This position will perform and deliver on routine and progressively more non-routine assignments for their assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines. They will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims. In addition, they will enable less experienced team members to perform their assignments.

Job Responsibilities:

• Meets or exceeds departmental quality and service standards.
• Makes routine and progressively more non-routine decisions independently, in accordance with established procedures and guidelines.
• Provides responses and a diverse range of claims information to team members’ less routine questions without supervision.
• Ensures the accuracy and completeness of submitted claims.
• Acts as the first point of contact for escalated issues coming in to their work group to provide resolution. Escalates issue to their manager when needed.
• Reviews and processes increasingly complex assigned claims for payment or denial independently in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
• Performs a diverse range of tasks/transactions related to common programs and services by directly applying expanded knowledge obtained from the role in increasingly more complex situations.
• Reviews and provides information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) without supervision in accordance with established procedures and guidelines.
• 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.
• Recognizes increasingly complex issues/concerns for assigned area(s) of responsibility, explains effect on the customer’s service experience, and suggests process improvements.
• 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 independently.

Job Requirements:

• Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
• Demonstrates strong interpersonal skills with a collaborative style.
• Demonstrates the ability to use sound judgment and discretion regarding confidential information.
• Demonstrates ability to work in a fast-paced environment.
• Ability to work with others in a team environment.
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers).
• Finds common ground and can gain collaboration among management, colleagues and peers.
• Successfully completes regulatory and job training requirements.
• Ability to perform under stress in cases of emergency, critical or hazardous situations.

Job Details:

Company: Lincoln Financial

Vacancy Type: Full Time

Job Location: Dover, NH, US

Application Deadline: N/A

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