EXL
10,000+ employees
💰 $2M Venture Round on 2015-01
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
Senior Claims Processor
Job not on LinkedIn
🕒 May 8
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EXL
10,000+ employees
💰 $2M Venture Round on 2015-01
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
📋 Description
• Accountable for identifying, investigating, evaluating, obtaining and utilizing critical information required to accurately and objectively adjudicate claims. • Verbally communicate and correspond with outside customers to convey claim filing requirements. • Handles claim inquiries and processing on multiple product lines. • Documents all calls clearly and concisely and completes follow-up work. • Identify areas of potential risk for the company, including potential fraud. • Analyze all incoming documents for appropriateness and completeness, and determine whether claim is payable. If so, calculate benefit amounts and serve as 1st approver for payments. • Serves as the first step in resolving claims adjudication issues and in the call escalation process. • May be responsible for incoming and outgoing calls to claimants, Power’s of Attorney, facilities and other person’s or entities involved in the adjudication of a claim. • Ensure all tax information is correctly reported. • Maintain claim file with proper level of documentation. • Answer customer inquiries. • Maintain claim inventories within departmental, contractual, and regulatory guidelines.
🎯 Requirements
• Death claims processing for life and/or annuity contracts preferred • Two-year college degree or equivalent experience in a financial institution operations department, customer service, or annuity product experience. • Knowledgeable in life or annuity products and death claim processing • Must have sharp attention to detail and ability to perform with high degree of accuracy. • Strong analytical skills to review documents and reach sound decisions • Proven oral and written communication skill set. • Ability to: • Meet multiple performance targets at or above benchmark levels; including, but not limited to: accuracy, call quality, timeliness, and productivity. • Work harmoniously with peers within a small team environment to accomplish both personal and team performance goals. • Work with customers in a professional and empathic manner • Work overtime, as needed, to meet daily deadlines • Work simultaneously with multiple computer systems • Compute moderately difficult mathematical calculations
🏖️ Benefits
• Available for 8 hour shift between 8am to 8pm working hours; Work from home
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