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AAA Life Insurance Company · 1 month ago

Claims Support Analyst - Quality

US-MI-Livonia

Full-time

Onsite

Mid Level

AAA Life Insurance Company is a trusted brand in Life Insurance and Annuity Products. The Claims Support Analyst will conduct audits of claim files, respond to customer inquiries, and assist with workflow management and training development.

Financial ServicesInsuranceLife Insurance

Responsibilities

Performs quality audit of claim files (paid, pended, and denied by staff) to ensure adherence to process, procedures, and regulatory compliance within scope of authority

Preforms Quality reviews of phone call, payments, letters, service recovery tickets, etc

Assist with training and the development of training

Prepares responses involving complex matters on customer inquiries Responses are oral and written for various audiences (Department of Insurance, Customers, Attorney’s, etc)

Acts as a mentor on claim matters to aid in the development and training of existing staff, to improve quality, judgment skills, decision making abilities, and productivity based on audit results

Ensure training needs for the department are fulfilled and documentation exists for all processes. May audit telephone calls and claim files to assist with quality program and ongoing development of staff

Identifies improvements to correspondence, claim analysis and adjudication process based on philosophies and procedures. Collaborate with Claims Manager and Business partners as necessary when pursuing resolution of areas needing improvement

Identifies system enhancement needs to reduce manual processing

Assists with the design, creation and delivery of training materials in a variety of media or instructional delivery methodologies. Special emphasis should be given to regulatory guidelines

Approves claim payments and denials within scope of authority

Primary contact for vendors of claims department

Participates on project teams and works effectively with departments involved

Qualification

Quality auditTraining developmentRegulatory complianceClaims analysisCustomer inquiriesMentoringCollaborationCommunication skillsProblem-solving

Required

Bachelor's degree preferred or equivalent experience

FLHC Designation Completion within 36 months of job acceptance

Benefits

Medical, Dental, Vision, Life and Disability coverage available day one

Pension Plan

Performance-based incentive plan

401k available with a Company match

Holidays and Paid Time Off

AAA Basic Membership

Company

AAA Life Insurance Company

AAA Life Insurance Company is fueled by our mission of providing financial security and peace of mind to AAA members through our life insurance products, delivering on the outstanding customer service that members have come to expect from the AAA brand.

Founded in 1969