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Fort Washington Investment Advisors, Inc. · 1 day ago

Life Claims Assistant-Onsite

US-MI-FREMONT

Full-time

Onsite

Entry Level

2+ years exp

Fort Washington Investment Advisors, Inc. is seeking a Life Claims Assistant to evaluate and process life insurance claims. The role involves reviewing claims, communicating with various stakeholders, and providing technical advice to ensure compliance with policy provisions and legal requirements.

Financial Services

Responsibilities

Reviews, analyzes, investigates and authorizes payment of life insurance claims within authority guidelines

Evaluates claim information and decides appropriate course of action to properly assess, clarify and appraise the claim in compliance with policy provisions, claim procedures, legal requirements and professional ethics

May communicate directly with policyholders, beneficiaries, hospitals, doctors, attorneys, and other internal and external areas. Contacts involve planning and preparation of the communications, requiring skills, tact, persuasion and negotiation to reach resolution

Provides technical and professional advice to team members to help meet department objectives. Identifies trends, efficiency and improvement opportunities

Provides guidance regarding general claim policy, as well as specific claims problems involving the validity of claim, interpretation of policy contracts and terminology

Performs other duties as assigned

Complies with all policies and standards

Qualification

Claims processing experienceMedical terminology knowledgeLife/health claims knowledgeCompliance understandingProblem-solving skillsPC skillsOffice software knowledgeTrustCommunication skillsOrganizational skillsIntegrity

Required

High School Diploma - Required

2-plus years of relevant experience in claims processing. - Required

Proven advanced understanding of medical conditions and terminology

Demonstrated ability to deal effectively with external customers, some of whom will require high levels of patience, tact and diplomacy to diffuse emotionally charged issues

Demonstrated ability to read, listen and communicate effectively both verbally and in writing in order to prepare formal and informal correspondence

Good judgment with proven ability to accurately investigate, analyze and summarize detailed information to describe claim issues

Demonstrated organizational skills

Proven understanding of compliance with life insurance

Proven knowledge of life/health claims

Proven problem-solving skills

Proven to have a high level of candor, trust and integrity

Demonstrated competence with organization, prioritization and multi-tasking

Proven to be a change agent and have proven track record for delivering results

Proven to be motivated with the flexibility necessary to operate in a fast-growing and fast-paced environment

Advanced PC skills

Solid knowledge of standard office software