Claims Examiner

Role Overview

• Manage a book of pending claims through effective time management to ensure timely payments
• Process decisions on claims through claim management system (Promise 360) and/or new business application (Compass)
• Approve and deny claim payments within authorization limits
• Render decisions on disability extension requests and traumatic injury claims within authorization limits
• Obtain necessary information for claim decisions from various sources including, but not limited to, the Veterans Administration, branches of service, beneficiaries, attorneys, and police departments.
• Correspond with claimants, law department, underwriting, Casualty Assistance Officers, attorneys, the Veterans Administration, and other interested parties through the life of a claim
• Prioritize work to ensure meeting of performance standards
• Other duties as assigned

Requirements

• Bachelor's degree or equivalent military experience preferred
• 2 to 5 years of claims management experience preferred
• Strong customer focus skills with high ability to empathize with customers
• Ability to learn and retain a large amount of technical information
• Ability to analyze data on claims and make appropriate claim decisions
• Strong problem solving, strategic thinking and analytical skills
• Ability to prepare replies to claim inquiries
• Excellent PC skills and strong working knowledge of windows-based applications
• Proven self-motivation skills
• Excellent oral and written communications skills
• Partnership skills to excel in a team environment as well as work independently
• Ability to prioritize work and excel in a fast-paced, metric driven environment
• Excellent time management and organizational skills
• Attention to details a must
• Ability to work overtime based on work volumes

Benefits

• Medical, dental, vision, life insurance, disability insurance
• Paid Time Off (PTO)
• Parental and military leave
• 401(k) plan with company match (up to 4%)
• Company-funded pension plan
• Wellness Programs including reimbursement for personal wellbeing needs (up to $1,600 a year)
• Work/Life Resources
• Education Benefit for college enrollment and accredited certificate programs
• Employee Stock Purchase Plan at 85% of lower price after one year of service
• Eligibility for discretionary annual incentive program based on individual and organizational performance