Specialist, Appeals Claims

**Date**:Apr 22, 2024

**Primary Location**: Radnor, PA, US

**Company**:Lincoln Financial

**Alternate Locations**: US All Regions; US Midwest; US Northeast; US Southeast; US Southwest; US West; Work from Home

**Work Arrangement**:
Remote : Work at home employee residing outside of a commutable distance to an office location.

**Relocation assistance**: is not available for this opportunity.

**Requisition #**: 73054

**The Role at a Glance**- Background Details_
- claims. You will provide technical information and detailed guidance to Claims management & teams regarding products, claims processes, regulations, and applicable systems for their assigned claims area. If this sounds like a role for you, please read on**What you'll be doing**
- You will analyze and interpret complex coverage contracts to determine if eligibility is met.
- You will identify, interpret, and resolve gaps in financial calculations and offsets when applicable, share technical knowledge and approach on financial calculations with team members that involve complex contract provisions.
- You will research questions and escalations from Claims team; liaises with various stakeholders from across the business (Underwriting, Actuarial, Compliance, Account Management, etc.) to obtain needed information to clarify and address issues.
- You will provide customers with in-depth explanations of policy details, claim process, and claim determination; ensure parties understand the information and outcome.
- You will utilize internal reporting to identify trends and review/audit performance against team metrics; propose and develop practices & processes to improve performance and the customer experience.
- You will effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims workflow. Provide detailed guidance & coaching to junior team members.

**What we’re looking for**
- Must-have:_
- 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's)
- 1 - 3+ Years of Long-Term Disability. (required)
- Ability to communicate effectively (verbal/written)
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Nice-to have:_
- Experience working with multiple products.
- Presentation training or skills
- Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
- SystemOne 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**:
- Clearly defined career tracks and levels to help you successfully manage your career-
- Leadership development and virtual training opportunities-
- PTO/parental leave-
- Competitive 401K and employee benefits-
- 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.

**About The Company**

Lincoln is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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