Ltd Claims Examiner, Claims

Ltd Claims Examiner, Claims


Ltd Claims Examiner, Claims

Details of the offer

Alternate Locations:Dover, NH (New Hampshire) Relocation assistance is not available for this opportunity.

Requisition 63698

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 238 billion in assets under management as of December 31, 2018.

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.

General Purpose of Job 13;
This position will perform and deliver on routine and progressively more 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. In addition, s/he will enable less experienced team members to perform his/her assignments.

Duties and Responsibilities 13;

Acts as the first point of contact for escalated issues coming in to his/her work group to provide resolution. Escalates issue to his/her manager when needed.
Ensures the accuracy and completeness of submitted claims.
Makes routine and progressively more non:routine decisions independently, in accordance with established procedures and guidelines.
Meets or exceeds departmental quality and service standards.
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.
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.
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.
Provides responses and a diverse range of claims information to team members less routine questions without supervision.
Recognizes increasingly complex issues/concerns for assigned area(s) of responsibility, explains effect on the customers service experience, and suggests process improvements.
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.
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.
Shares a diverse range of knowledge and information and/or enables less experienced team members to perform his/her assignments.
Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
Works independently delivering on routine but progressively more non:routine work, in accordance with established procedures and guidelines in a timely manner and meets deadlines appropriately.
Works overtime as needed.

Additional Position Responsibilities 13;

Carries out duties in co

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  • Call Center - Customer Support / Customer Service Manager


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