Life Claims Examiner

Responsible for active case management of Life claims Ensures claims are processed accurately within regulatory and company guidelines Deliver an exceptional customer experience and ensure customer commitments and deliverables are achieved Review and interpret medical records, utilizing resources as appropriate Complete financial calculations specific to claims when applicable Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication Apply contract/policy provisions to ensure accurate eligibility and liability decisions Foster strong relationships with customers to understand their needs and ensure high levels of satisfaction Requirements 2+ years prior experience managing Life claim products Excellent client relationship management skills Strong verbal, written communication, and presentation skillsComfortable dealing with complexity and ambiguity and able to explore multiple solutions Hard Skills case management claims processing financial calculations medical record interpretation eligibility decisions liability decisions Soft Skills customer experience client relationship management verbal communication written communication presentation skills problem-solving adaptability #J-18808-Ljbffr