Job Description: This position will perform and deliver on routine and non-routine assignments for his/her assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines.S/he will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims. Job Responsibilities: Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role. Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately. Ensures the accuracy and completeness of submitted claims. Escalates claims issues/concerns to senior team members and/or management. Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines Meets or exceeds departmental quality and service standards. Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions. Processes increasingly complex assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards. Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services. Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently. Provides routine responses and a diverse range of information to junior team members' questions to support organizational capabilities. Job Requirements: Ability to perform under stress in cases of emergency, critical or hazardous situations. Ability to work with others in a team environment. Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers, etc.). Demonstrates ability to work in a fast-paced environment. Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail. Demonstrates strong interpersonal skills with a collaborative style. Demonstrates the ability to use sound judgment and discretion regarding confidential information. Finds common ground and can gain collaboration among management, colleagues and peers. Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Successfully completes regulatory and job training requirements. Job Details: Company: Lincoln Financial Group Vacancy Type: Full Time Job Location: Morrisville, NC, US Application Deadline: N/A Apply Here getyourvacancy.com
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