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Claims Analyst Customer Service

2 months ago

Worcester, United States Eileen Fisher Full time

We are looking for a Claims Analyst in our Worcester, Massachusetts office working in our Voluntary Benefits division. In this position, you will mainly focus on reviewing and making claim payments for lower indemnity claims, handling calls and assisting claimants and others on any customer service-related issues. The ideal candidate should have excellent time management skills, strong attention to detail and possess excellent verbal and written communication skills. SUMMARY:

To learn and understand the claims handling process and procedures related to Worksite Cancer Critical Illness (CA/CI) and Accident or Life claims. Make claim payments in accordance with the policy provisions and appropriate state and federal laws, review and make recommendations on the appropriate resources to utilize in claim investigations and to handle claims appropriately as outlined in our claim philosophy. RESPONSIBILITIES INCLUDE: CLAIMS MANAGEMENT: Learn, fully understand and perform the claims handling process and procedures related to CA/CI and Accident products. Process all Life claims. Handle claims appropriately to support our claim philosophy in accordance with policy provisions and appropriate state and federal laws. Responsible for handling a given caseload while adhering to department time service standards with quality performance. Ability to identify claims that need additional reviews and implement appropriate reviews. Manage high volume of claims and phone calls and explain contract definitions to insureds both verbally and in writing. Compose letters to insureds. Work well on phones and display empathy when necessary. Ability to review and understand medical records. CUSTOMER SERVICE: Manage high volume of routine and semi-routine claims and phone calls. Ability to effectively communicate and explain contract definitions to insured both verbally and in writing. Provide outstanding customer service to the insured throughout their claim. Provide back up to Claim Assistants when appropriate for claim mail tasks. QUALIFICATIONS: Must be able to work Monday - Thursday from 11:30 - 8:00 pm and Fridays from 10:30 - 7:00 pm. Insurance or claims experience of at least one year preferred. Proficiency in MS Word and Excel required. Prior customer service experience strongly preferred. Must have at least 1 year of corporate office experience. Very good verbal/written communication skills Excellent time management and organizations skills required. Excellent phone skills required. Come join Trustmark Join a team that will not only utilize your current skills, but will enhance them as well. Trustmark benefits include medical/dental/life insurance, tuition reimbursement, competitive 401k plan, insurance education classes, health and wellness initiatives and more All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, or disability. Trustmark is pleased to have earned recognition from the Chicago Tribune as a Chicago Top Workplaces 2020 Award winner.

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