Claims Specialist

1 day ago


Irvine, California, United States Lincoln Financial Group Full time
{"title": "Claims Specialist", "description": "Job Summary

We are seeking a skilled Claims Specialist to join our team at Lincoln Financial Group. As a Claims Specialist, you will be responsible for communicating with claimants, employers, and medical professionals to gather necessary claim information and manage the claim process from initial request to return to work.

Key Responsibilities
  • Communicate with claimants, employers, and medical professionals to gather necessary claim information.
  • Collaborate with fellow case managers, nurse case managers, and consulting physicians to make timely claim determinations.
  • Review complex medical records and leverage various tools and resources to understand approval durations and future action planning.
  • Complete accurate financial calculations consistent with company and state guidelines.
  • Provide exceptional customer service and proactively recognize customer and claimant needs and areas of opportunity.
  • 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 8:00 am to 6:00 pm PST
Requirements
  • 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
What We Offer
  • 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.

", "lang_code": "en-US"}

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