
Spe-ins Claims
1 day ago
**Job Summary**
**Responsibilities**
- Analyze and process insurance claims related to life and annuities ensuring accuracy and compliance with company policies and regulations.
- Collaborate with team members to improve claims processing workflows and enhance operational efficiency.
- Utilize domain knowledge to assess claims and provide recommendations for resolution ensuring customer satisfaction.
- Maintain detailed records of claims and communicate effectively with stakeholders to provide updates and resolve inquiries.
- Conduct thorough investigations of claims to identify potential discrepancies and ensure fair outcomes.
- Provide insights and feedback to management on trends and patterns observed in claims data to support strategic decision-making.
- Assist in the development and implementation of training programs for new team members to ensure consistent knowledge sharing.
- Monitor industry developments and regulatory changes to ensure compliance and adapt processes as necessary.
- Support the continuous improvement of claims processing systems by identifying areas for enhancement and suggesting solutions.
- Engage with policyholders and beneficiaries to address concerns and provide clear explanations of claim decisions.
- Collaborate with cross-functional teams to ensure seamless integration of claims processes with other business operations.
- Prepare detailed reports and presentations on claims performance and outcomes for management review.
- Ensure adherence to night shift schedules and maintain a high level of productivity and focus during working hours.
**Qualifications**
- Demonstrate strong expertise in Life and Annuity domain knowledge essential for effective claims processing.
- Possess excellent analytical skills to evaluate and resolve complex claims efficiently.
- Exhibit strong communication skills to interact with stakeholders and provide clear concise information.
- Have a keen eye for detail to ensure accuracy and compliance in all claims-related activities.
- Show proficiency in using claims management software and tools to streamline processes.
- Display a proactive approach to problem-solving and continuous improvement in claims operations.
- Demonstrate the ability to work independently and collaboratively within a team environment.
**Certifications Required**
Certified Life and Annuity Claims Specialist (CLACS) or equivalent certification.
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