Claim Specialist IV (Remote)

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Associates Degree or equivalent work experience; Bachelor's degree preferred., 2+ years of customer service experience with demonstrated tele-service skills., 2+ years of claim processing experience, preferably in disability claims., Excellent oral and written communication skills, along with strong analytical and problem-solving abilities..

Key responsibilities:

  • Analyze claims to determine the need for additional investigation.
  • Communicate directly with third parties and customers during the investigation and negotiation of claims.
  • Evaluate, approve, and pay claims up to a pre-approved limit based on serviced products.
  • Serve as a technical lead and coordinate the work of others to improve team performance.

Job description

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone.  We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance, investment and technology solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.

Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition

Job Purpose:  
 

This position is an intermediate Claims role under minimal supervision responsible for detailed understanding of applicable state and insurance industry laws and regulations. The incumbent will process, investigate, negotiate and settle a variety of increasingly complex L&H inquiries and claims. Serves as technical lead, may coordinate work of others, and develop solutions to improve team performance. May require examinations / licensing 

 

Job Responsibilities:   

  • Analyze claims to determine need for additional investigation 

  • Deal / communicated directly with 3rd parties and customers in the investigation, negotiation and conclusion of claims in accordance with established procedures 

  • Evaluate / approve / pay claims up to pre-approved limit dependent on products serviced 

 

The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time. 

 

Job Requirements:  

  • Associates Degree or equivalent work experience. Bachelor’s degree preferred 

  • 2 + years customer service experience including demonstrated tele-service skills 

  • 2 + years Claim processing experience (prefer: disability) 

  • Excellent oral and written communication skills 

  • Demonstrated excellent analytical and problem-solving skills and decision-making ability 

  • Demonstrated mathematical aptitude 

  • Demonstrated ability to interpret medical and insurance documentation 

  • Property Claims Experience Preferred

 

Position Specific:  
Serve the Customer 

  • Drive for Results 

  • Knowledge of TruStage 

If you’re ready to help make a difference, apply today. Please provide your Work Experience and Education or attach a copy of your resume.  Applications received without this information may be removed from consideration.

Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status.

 

Base Salary Range:

$71,700.00 - $107,600.00

 

At TruStageTM, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan.  Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees.  We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when “life happens,” you can focus on what’s most important.

Accommodation request

TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Analytical Skills
  • Decision Making
  • Problem Solving
  • Communication
  • Customer Service
  • Mechanical Aptitude
  • Trustworthiness
  • Teamwork
  • Adaptability

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