Life Claims Specialist (NRF) - Remote

**This position is open to remote anywhere in the US, however, must be able to work Central Time Zone hours**

What You'll Do

• 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.  

What You Will Bring to the Role

• 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.  

Skills You Have

• Analytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes.

• Attention to Detail: Focuses on specific details to spot and correct errors in advance of them being found and surpass quality expectations. Performs work with thorough proofreading for presentation, content, accuracy, and overall quality.

• Change Adaptability: Becomes adaptable in response to continual changes; shows an openness to new ways of working, new methods, work-in-progress improvements and changes and seamlessly navigates the changing business environment and adjusts behavior as appropriate to the situation.

• Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims. Evaluates medical, financial, and occupational information and reviews to determine if insured meets contractual provisions while taking the state regulations or other relevant contractual information into consideration to make informed decisions. Analyzes insurance claims to determine the validity/risk of the claim, and the extent of coverage.

• Customer Centricity: Applies a customer first mindset to design and continuously improve solutions, systems, processes, and services that support enterprise strategy, impact critical business outcomes, and drive organizational success.

• Decision Making: Makes timely, data-driven decisions by understanding the probability of success, identifying risks, gathering business requirements, and developing value statements.

• Insurance Acumen: Applies knowledge of insurance concepts, policies, regulations, and industry practices to solution challenges. Understands insurance principles, such as underwriting, claims philosophy, and risk.

#LI - Remote