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Disability and Health Claims Specialist

2 months ago

Canton, Massachusetts, United States CEI Group Full time

Job Summary:

The Claims Examiner - Health and Disability role reports directly to the Supervisor Claim Support at CEI Group. This position is responsible for providing timely support to the Claim Services Department while demonstrating the highest levels of service professionalism in all aspects of the job.

Key Responsibilities:

  • Prepare items for imaging, including new claims, correspondence, closed claim files, and notification of claims.
  • Provide backup to data imager.
  • Index relevant items for pending and closed claims.
  • Sort all Claims Services mail.
  • Pull claim files associated with incoming mail and deliver to Examiners for handling.
  • Scan correspondence, medical records, and other claim forms and correspondence.
  • Photocopy pertinent items such as death certificates, envelopes, claim forms.
  • Provide statistical reporting of mail and pending mail.
  • Research returned mail.
  • Set up new claims as needed.
  • Distribute claim kits as requested.
  • Handle routine status customer service calls, document calls, and refer complex calls to the Examiners.
  • Mail claim checks.
  • Retrieve, review, and distribute faxes and emails received via the claim department inbox.
  • Typing of letters as requested.
  • Lookups on MASS.DOR/CSLN/LEXIS NEXIS.

Requirements:

Direct Life Claims experience.