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Life Claims Analyst - Overland Park, Kansas

CATEGORY:  Insurance

DESCRIPTION:
  1. Life Claims Analyst is responsible for the timely and accurate claims adjudication process for the life and annuity claims business; as well as ensuring excellent customer service in all areas of the claims processing department, and analyzing policy plans for life and/or annuity claims benefits. Daily work includes both routine tasks and special projects.
  • The Life Claims Analyst interprets and processes life and annuity claim benefits in accordance with company policies and procedures.
  • Analyze policy plans to determine any benefits payable.
  • Reviews pending claims to determine the appropriateness of the claim status.
  • Researches insured/annuitant information using the internal policy administration system(s). Examines information obtained, including, but not limited to, verification of coverage, policy values, and policy status; and examines information received during the claim review process, including but not limited to, death certificates, claim forms, assignment forms, estate, and trust documentation.
  • Maintains production and claims quality standards.
  • Provides customer service internally and externally as needed, in response to routine inquiries and resolves concerns on an “as-needed” basis.
  • Constructs letters to claimants regarding claim status, payment, denial, and general claims inquiries.
  • Assists with opening mail and returned mail, as needed.
  • Answer telephone inquiries from internal and external
  • Minimum High School diploma/GED – some college preferred.
  • Must have the ability to analyze a policy plan to determine eligible benefits.
  • Two years of previous experience processing life/annuity claims.
  • The ability to construct proper written communication and business correspondence; writes clearly and informatively.
  • The ability to meet company attendance requirements for position, including reliable transportation and a professional office appearance.
  • Demonstrate effective computer skills; (Example: able to navigate within a computer/systems-dependent environment without assistance; experience in a windows-based computer environment preferred.); MS Word and Excel.
  • Effective verbal communication skills – speaking clearly and positively in positive or negative situations; listens and gets clarification and responds well to questions.
  • Strong analytical and documentation skills.
  • Possess the ability to absorb and apply new and changing information.
  • Self-motivated and accountable with ability to resolve any outstanding issues to closure.
  • Able to effectively handle multiple tasks.
  • Maintain complete and accurate documentation.
  • Demonstrates responsiveness and a sense of urgency when dealing with internal and external customers.
  • Demonstrates professionalism and presents a positive image of the company when interacting with internal and external customers.
  • Supports individual and team goals and initiatives and effectively balances these responsibilities; accepts ownership for individual result.
  • Skilled at developing and maintaining effective working relationships with a positive, confident attitude; exhibits objectivity and openness to others’ views..
  1. Life Claims Analyst is responsible for the timely and accurate claims adjudication process for the life and annuity claims business; as well as ensuring excellent customer service in all areas of the claims processing department, and analyzing policy plans for life and/or annuity claims benefits. Daily work includes both routine tasks and special projects.
  • The Life Claims Analyst interprets and processes life and annuity claim benefits in accordance with company policies and procedures.
  • Analyze policy plans to determine any benefits payable.
  • Reviews pending claims to determine the appropriateness of the claim status.
  • Researches insured/annuitant information using the internal policy administration system(s). Examines information obtained, including, but not limited to, verification of coverage, policy values, and policy status; and examines information received during the claim review process, including but not limited to, death certificates, claim forms, assignment forms, estate, and trust documentation.
  • Maintains production and claims quality standards.
  • Provides customer service internally and externally as needed, in response to routine inquiries and resolves concerns on an “as-needed” basis.
  • Constructs letters to claimants regarding claim status, payment, denial, and general claims inquiries.
  • Assists with opening mail and returned mail, as needed.
  • Answer telephone inquiries from internal and external
  • Minimum High School diploma/GED – some college preferred.
  • Must have the ability to analyze a policy plan to determine eligible benefits.
  • Two years of previous experience processing life/annuity claims.
  • The ability to construct proper written communication and business correspondence; writes clearly and informatively.
  • The ability to meet company attendance requirements for position, including reliable transportation and a professional office appearance.
  • Demonstrate effective computer skills; (Example: able to navigate within a computer/systems-dependent environment without assistance; experience in a windows-based computer environment preferred.); MS Word and Excel.
  • Effective verbal communication skills – speaking clearly and positively in positive or negative situations; listens and gets clarification and responds well to questions.
  • Strong analytical and documentation skills.
  • Possess the ability to absorb and apply new and changing information.
  • Self-motivated and accountable with ability to resolve any outstanding issues to closure.
  • Able to effectively handle multiple tasks.
  • Maintain complete and accurate documentation.
  • Demonstrates responsiveness and a sense of urgency when dealing with internal and external customers.
  • Demonstrates professionalism and presents a positive image of the company when interacting with internal and external customers.
  • Supports individual and team goals and initiatives and effectively balances these responsibilities; accepts ownership for individual result.
  • Skilled at developing and maintaining effective working relationships with a positive, confident attitude; exhibits objectivity and openness to others’ views.
  • Great benefits and 36 hour work week.

Please contact Joy Davis at 913-327-2865 to schedule interview and email resume direction to Joy.davis@spencerreedgroup.com



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Job Contact:

Joy Davis
Joy.Davis@spencerreedgroup.com
913-327-2865


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