Associate - Accidental Claims Analyst

3 days ago


Taguig, National Capital Region, Philippines Principal Global Services Full time
Responsibilities

As a Short Term Disability Claims Analyst, your day will be anything but routine. In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical, multitasking, prioritization, and interpersonal skills to assist with our clients' short-term disability claims – all during a time in which they may be facing major changes in life.

Here are a few examples of the kinds of things you'll do:

  1. Acquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.
  2. Connect with employers, employees and medical providers via phone, email, text, and letters.
  3. Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, group short term disability policy provisions, claim decisions, status, and all other aspects of the claim process to ensure they fully understand the company's position.
  4. Supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines.
Qualifications


• PHRN

• Bachelor's/Associate's degree, with 1+ years of customer facing work experience preferred.

• Short Term Disability Claim Processing Experience – reviewing and gathering information, making phone calls, and making the actual claim decision - at least 1 year or more of successful performance of processing Short Term Disability claims preferred.

• Legal and policy experience - being able to read, interpret policies, policy provisions and industry regulations to accurately interpret and apply them to claims situations is preferred.

• Basic math skills.

• Ability to actively listen while you collect information on the telephone and provide strong customer service, providing empathy to the customers going through tough situations.

• Ability to accept & apply feedback.

• Ability to maintain a high degree of accuracy, pay strict attention to detail, maintain confidentiality, and work within the grey.

• Excellent analytical, interpersonal, problem solving, decision-making, and multi-tasking skills.

• Computer skills and typing proficiency – Microsoft Outlook, Word, Excel experience is preferred.

• Work independently as well as in a team environment.

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