Job Description

General Purpose of Job

This position will perform and deliver on routine and non-routine assignments for their assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines. They will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims.

Duties and Responsibilities

Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role.
Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.
Ensures the accuracy and completeness of submitted claims.
Escalates claims issues/concerns to senior team members and/or management.
Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines
Meets or exceeds departmental quality and service standards.
Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions.
Processes increasingly complex assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services.
Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.
Provides routine responses and a diverse range of information to junior team members' questions to support organizational capabilities.
Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.
Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge.
Reviews increasingly complex submitted claim information for payment.
Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
Works overtime as needed.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.
Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processes
Performs other duties as required.
Remains current in profession and industry trends.

Other Skills and Abilities

Ability to perform under stress in cases of emergency, critical or hazardous situations.
Ability to work with others in a team environment.
Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers, etc.).
Demonstrates ability to work in a fast-paced environment.
Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
Demonstrates strong interpersonal skills with a collaborative style.
Demonstrates the ability to use sound judgment and discretion regarding confidential information.
Finds common ground and can gain collaboration among management, colleagues and peers.
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
Successfully completes regulatory and job training requirements.

Education

High School or GED - Minimum Required

Certifications

Experience

2 - 3 Years of claims experience that directly aligns with the specific responsibilities for this position OR For candidates with an Associates Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position. (Required )

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:

A clearly defined career framework 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

Work Arrangement

Work from Home : Employees will work fully from home. Their job will not require the employee to come into the office, unless for special circumstances.

Lincoln will evaluate the following when setting the successful candidate's wage rate:

•    Prior work or industry experience.
•    Education level to the extent education is relevant to the position.
•    Unique skills