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Senior Claims Specialist

2 months ago

Minneapolis, North Carolina, United States Securian Financial Full time

Position Overview:

This role serves as a key authority on supplemental health claim management within the employer sector, offering guidance and support to various business functions, channel partners, and clients.

Key Responsibilities:

  • Engage in effective communication with claimants, clients, business partners, claims specialists, and senior management.
  • Act as a primary resource for complex claims, interpreting policy provisions across diverse product lines in the employer sector.
  • Exhibit a comprehensive understanding of business processes, requirements, data, and market expectations to propose and execute process enhancements.
  • Facilitate tailored processes or reporting based on specific product and client needs.
  • Utilize advanced interpersonal and customer service skills while assisting business partners and clients with high-stakes claims that may involve litigation risks and critical partner retention.
  • Oversee team workload and allocate claims appropriately.
  • Provide training to associates on claims processing, including documentation and mentorship to ensure their success.
  • Conduct quality audits to uphold exceptional work standards.

Qualifications:

  • Familiarity with Benefit Distribution Center (BDC) systems, workflows, and procedures.
  • Outstanding communication abilities.
  • Understanding of BDC data sources and general BDC responsibilities regarding reporting, privacy, security, compliance, and auditing.
  • Demonstrated leadership skills to mentor and support less experienced associates.
  • Previous experience in a claims examiner role.

Work Environment:

Securian Financial promotes a hybrid work culture, allowing associates to work both remotely and in-office, fostering collaboration and relationship-building.

Physical Job Requirements:

  • Ability to use a keyboard, mouse, and computer for up to 8 hours daily.
  • Ability to work a minimum of 40 hours per week.
  • Ability to engage in phone and/or virtual meetings for 1-4 hours daily.
  • Ability to perform grasping tasks throughout the workday.

Compensation:

The estimated base pay range for this position is $50,000 to $88,500. Pay may vary based on job-related factors and individual experience, skills, and knowledge.

Benefits:

Securian Financial offers a comprehensive benefits package designed to enhance professional growth, well-being, and work-life balance, including:

  • Paid Time Off: Personal days and vacation time are prorated based on the month of hire.
  • Leave Programs: Flexible leave options for parental, caregiver, bereavement, and military leave.
  • Pension and Retirement Plans: Company-funded pension and a 401(k) retirement plan with contributions tied to company performance.
  • Health Insurance: Medical, dental, and vision coverage available from the first day of employment.
  • Volunteer Opportunities: Paid time off for volunteering and a matching gift program.

Diversity and Inclusion:

Securian Financial is committed to fostering a diverse and inclusive workplace.