- Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.
- Collaborating with fellow case managers, nurse case managers, and consulting physicians to make appropriate and timely claim determinations.
- Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning.
- Completing accurate financial calculations, where applicable, consistent with company and state guidelines.
- Providing exceptional customer service and proactively recognizing customer and claimant needs and areas of opportunity.
- Location: Must be located in the mountain or pacific time zone.
- Training hours: 7:00 am to 3:30 pm PST
- Regular hours: An 8-hour shift between the hours of 8:00 am to 6:00 pm PST
- High School or GED
- 1-2 years of experience in customer service, leaves, or short-term disability
- Strong written and verbal communication skills
- Excellent organizational skills with the ability to multi-task
- Absence management experience What's it like to work here? At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future. What's in it for YOU:
- A clearly defined career framework to help you successfully manage your career
- Leadership development and virtual training opportunities
- PTO/parental leave
- Free financial counseling, health coaching and employee assistance program
- Tuition assistance program
- A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
- Effective productivity/technology tools and training Pay Range: $ - $; Actual base pay could vary based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln's total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln's standard benefits package.
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Group Claims Specialist - Irvine, United States - Lincoln Financial Group
Description
What you'll be doing
What we're looking for
Must-have experience (required):
Nice to have experience (preferred):
Group Claims Specialist professionals in Irvine
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Rafael Cordova
Customer Service, Retails & Sales Representative
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John Kemp
Director Technology
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Ji Hae Hong
International SDR | EdTech