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Job Description
- Claims Background, Process Life Insurance Claim request with Insurance Regulations
- Reviewing & Indexing documents to determine type of request(s) and process them as per set guidelines
- Review & Investigating Claims
- Determines covered insurance losses by studying provisions of a policy or certificate.
- Establishes proof of loss by studying documentation and assembling additional information from outside sources
- Documents specific claims by completing and recording forms, reports, logs, and records.
- Resolves claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
- Ensures legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
- Maintains quality customer service by following customer services practices and responding to customer inquiries
- Provides legal support by assembling documentation for settlement action.
- Maintains a good relationship with insurance departments.
- Protects operations by keeping claims information confidential.
- Processing transactions received through faxes, web submissions, mail, Contact Center requests, etc.
- Processing a wide range of non-financial transactions through good order review for incoming contract changes due to death claim or divorce transactions.
- Knowledge and proficiency of multiple mainframe systems necessary.
- Researching in automated work distributor for duplicate work items, routing, as necessary.
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- Redirect documents to appropriate operational area as needed
- Contribute to individual quality and productivity goals by meeting processing targets focused on turnaround time expectations
- Promote a positive customer service mindset to surpass the expectations of customers through continuous improvement
- Identify and capitalize on best practices to ensure consistency and optimal performance in a team based environment
- Active participation in ongoing development of self
- Continue to build additional knowledge and understanding of the clients business
- Perform other duties as needed
Skills
InsuranceIf an employer asks you to pay any kind of fee, please notify us immediately. Jobaaj does not charge any fee from the applicants and we do not allow other companies also to do so.
Important dates & deadlines?
Application Deadline
27 Apr 26, 03:38 PM IST
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