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View salary and benefits informationThe Disability Claims Reviewer examines claims material to ensure insurance coverage and validity. Reviews, evaluates and processes disability insurance claims according to procedure and practice. Being a Disability Claims Reviewer typically requires a bachelor's degree or its equivalent. Has contact with agents, claimants, and policy holders. In addition, Disability Claims Reviewer typically reports to a supervisor/manager. Working as a Disability Claims Reviewer typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is clos more...
The Claim Representative II prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Processes, adjusts, and closes claims of low to moderate complexity in a contact center setting. Being a Claim Representative II does not handle claims requiring outside field adjustment and refers complex claims to designated experts. Negotiates settlements within approved limits. In addition, Claim Representative II requires a high school diploma or equivalent. Typically reports to a supervisor or manager. Being a Claim Representative II more...
The Claim Representative III prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Processes, adjusts, and closes claims of moderate complexity in a contact center setting. Being a Claim Representative III does not handle claims requiring outside field adjustment and refers complex claims to designated experts. Negotiates settlements within approved limits. In addition, Claim Representative III may handle claims for bodily injury and third-party loss. Requires a high school diploma or equivalent. Typically reports to a more...
The Claim Representative Supervisor monitors and evaluates interactions and workflow to ensure that quality and volume standards are maintained. Acts as team lead for a group of Insurance Claim Service Representative in a contact center setting. Being a Claim Representative Supervisor responds to and resolves complaints and complex claims issues. Coaches and guides less experienced team members. In addition, Claim Representative Supervisor ensures compliance with State Insurance Department regulations. Requires a high school diploma or equivalent. Typically reports to a manager. The Claim Repr more...
The Claim Representative I prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Processes, adjusts, and closes simple, low-level claims in a contact center setting. Being a Claim Representative I requires a high school diploma or equivalent. Incumbents may be enrolled in a formal training program or apprenticeship. In addition, Claim Representative I typically reports to a supervisor or manager. Being a Claim Representative I works under the close direction of senior personnel in the functional area. Possesses a modera more...
The Claim Service Manager develops and implements claim servicing policies and procedures, and ensures that team members meet or exceed performance standards for quality and volume. Manages day-to-day service activities for one claim-related function in a contact center setting. Being a Claim Service Manager ensures compliance with State Insurance Department regulations. Identifies opportunities for system and workflow improvements and recommends changes in operational processes. In addition, Claim Service Manager may be responsible for reviewing and processing highly complex or high-value cla more...
The Disability Claims Senior Reviewer examines claims material to ensure insurance coverage and validity. Reviews, evaluates and processes disability insurance claims according to procedure and practice. Being a Disability Claims Senior Reviewer typically requires a bachelor's degree or its equivalent. Has contact with agents, claimants, and policy holders. In addition, Disability Claims Senior Reviewer typically reports to a supervisor/manager. Working as a Disability Claims Senior Reviewer typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks with more...
Processes, adjusts, and closes simple, low-level claims in a contact center setting. Prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Incumbents may be enrolled in a formal training program or apprenticeship. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. more...
Manages day-to-day service activities for one claim-related function in a contact center setting. Develops and implements claim servicing policies and procedures, and ensures that team members meet or exceed performance standards for quality and volume. Identifies opportunities for system and workflow improvements and recommends changes in operational processes. Ensures compliance with State Insurance Department regulations. May be responsible for reviewing and processing highly complex or high-value claims. May require a bachelor's degree in a related area. Typically reports to a manager or a more...
Manages one or more claim-related functions in a contact center setting. Develops and implements claim servicing policies and procedures, and ensures that team members and subordinate supervisors meet or exceed performance standards for quality and volume. Identifies opportunities for system and workflow improvements and oversees changes in operational processes. Ensures compliance with State Insurance Department regulations. Requires a bachelor's degree in a related area. Typically reports to a head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. T more...
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