Life Claims Specialist (NRF)

Primary Duties & Responsibilities

• Make fair, accurate, timely and quality claims decisions on life insurance claims up to allowable signature limit. May work on cases exceeding this limit with prior approval and second signatures.

• Examines claim information obtained, including, but not limited to, beneficiary data, policy values, and policy status; and analyzes information received during the claim review process, including but not limited to, death certificates, claim forms, assignment forms, divorce decree, estate, and trust documentation.

• With empathy, deliver personalized experience for beneficiaries and field members by assisting with educating on settlement options available, which varies by policy type.

• Communicate verbally and construct letters and emails to beneficiaries, field members, and third parties in response to inquiries and/or regarding outstanding requirements, claim status updates, and claims decisions as part of the overall claim handling process.

• Manage phone and transactional responsibilities while adhering to strict confidentiality and privacy standards.

• Research and evaluate solutions to situations that arise and resolve concerns on an "as-needed" basis which oftentimes includes deviating from procedures.

• Maintain organization, accuracy, and timeliness in individual case management system; capture and document claim related information accurately and/or refer tasks as appropriate.

• Maintain production and claims quality standards.

• Embrace new technology and serve as an advocate by educating beneficiaries and field representatives.

• Supports digital savvy capabilities in self and others and adapts to changing environments and new situations effectively and positively.

• Work effectively with unstructured teams, situations, or environment.

• Participate in team meetings, projects and committee work as appropriate, including development of process improvements.

• Assist with special projects and initiatives, as needed to support the business.

Qualifications

• Bachelor's degree or equivalent combination of education and work experience.

• Previous experience with life insurance desirable.

• Must be technically savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously.

• Exhibits empathy and strong client focus and customer service skills.

• Able to analyze complex information and asks thoughtful questions to understand the situation.

• Demonstrated ability to work with a high degree of accuracy in handling detailed technical work.

• High degree of self-motivation with proven initiative in accepting responsibility for work results and in contributing cooperatively to group goals.

• Skilled at developing and maintaining effective working relationships with a positive, confident attitude; exhibits objectivity and openness to others' views.

• Strong organizational skills, with demonstrated ability to independently set priorities and to meet deadlines.

• Proven ability to maintain strict confidentiality and exercise tact and diplomacy with field/clients and beneficiaries.