Associate - STD/Pregnancy Claims Analyst

4 days ago

Taguig, National Capital Region, Philippines Principal Global Services Full time $40,000 - $60,000 per year

Responsibilities
As a
Short Term Disability Claims Analyst
In this fast-paced environment, every single day offers new challenges and the ability to use excellent analytical, multitasking, prioritization, and interpersonal skills to assist with 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:

  • Acquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.
  • Connect with employers, employees and medical providers via phone, email, text, and letters.
  • 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.
  • Supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines.

Qualifications

  • Non-PHRN: 1 year Contact Center/ Claims Processing Background
  • Claim Processing Experience - reviewing and gathering information, making phone calls, and making the actual claim decision.
  • Legal and policy experience - being able to read, interpret policies, policy provisions and industry regulations to accurately interrupt 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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