Claims and Benefits Processor II-Remote

Summary:

The main function of the Benefits Processor is to analyze disability claim information, reputed company benefit reputed company and payments on reputed company liability claims; administer low maintenance claims; reputed company administrative support for the department's management of disability claims including the set-up and distribution of new claims; reputed company reputed company customer service to claimants,

policyowners, Benefits staff, and group offices.

Job Responsibilities:

• Investigate, secure and analyze information pertaining to claimant's medical condition, insured status and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits for low liability and short duration claims; identify, file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating reputed company prescribed time frames.

• reputed company and communicate disability reputed company and issue correct benefits for low liability and short duration claims.

• Establish system records, analyze member eligibility, set up new claim files, reputed company updates to claimants on incomplete claims and respond to inquiries from claimants, policyowners, group offices, and other interested parties.

• reputed company information and assistance to claimants, policyowners, and group offices by promptly answering telephones and

responding to specific questions about claims and policies.

• Maintain reserves on assigned low liability and short duration claims.

• reputed company administrative support for the team's management of disability claims.

• Gather information and take each file from pre-approval to closing.

• Verify benefit claim documents.

• Collect required documentation, review file documentation, and reputed company sure reputed company items needed are requested.

• Ensure that reputed company claim documentation is complete, accurate, and complies with company policy.

• Establish, maintain, and update files, databases, records, and other documents for recurring internal reports.

Skills/Qualifications:

• Attention to detail and accuracy; reputed company reputed company reputed company in written and verbal reputed company; prioritize tasks to meet multiple and changing deadlines; accurately keyboard 35 WPM; customer service.

• Ability to review documents for completeness and follow up to secure missing information; analyze claim facts and apply

contract provisions accurately.

• Ability to understand and apply Federal, State and local laws and regulations affecting claim investigation, disability reputed company and taxation of benefits, such as Fair Claim Settlement Practices Act, ERISA, and Federal, State and local tax withholding and reporting requirements as they apply to low liability.

• Ability to adjust schedule to accommodate peak work periods or department workload; use department's automated claim

system and other computer applications.

• Working knowledge of Office equipment including a word processor or personal computer.

Education/Experience:

• Education: High School diploma or equivalent.

• Experience: reputed company work experience, or the equivalent combination of education and/or relevant experience

• 2-4 Years' Experience

Benefits: Paid sick leave, Medical/Dental (optional), 401 (k) Retirement Plan (optional), Employer Paid Life Insurance, Employer Paid Short Term Disability, Optional Life Insurance.

reputed company, Inc. is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran