Analysis Skills, Brokerage, Case Management, Claims Processing, Communication Skills, Customer Escalations, Customer Support/Service, Data Analysis, Data Collection, Documentation, Insurance Claims, Interpersonal Skills, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Resolve Customer Issues, Risk Management, Time Management, Writing Skills
Pay Rate: $50 per hour
Work Mode: Fully Remote
Summary:
- Part-time position
- 20 hours per week
- Availability required during core workdays and hours; Monday – Friday, 7:00 AM – 5:00 PM local time
- Must be available to work EST hours during training
Responsibilities:
- Manage an assigned caseload of moderately complex claims, including pending, ongoing/active, and appeal reviews
- Provide timely, balanced, and accurate claims reviews, documentation, and recommended decisions
- Communicate proactively with claimants and/or their representatives, demonstrating empathy and active listening
- Document conversations within the claim file in a timely manner with professional writing skills
- Interact and communicate effectively with claimants, customers, attorneys, brokers, and family members
- Compile file documentation and correspondence with extensive policy and factual detail
- Collaborate with external and internal resources to gather necessary data for claim evaluations
- Calculate monthly benefits due after the elimination period, including Social Security Offsets and Rehab Return to Work benefits
- Provide timely and detailed written communication during the claim evaluation process
- Address and resolve escalated customer complaints in a timely and thorough manner
Requirements:
- Minimum 3 years of LTD/IDI Insurance Claims experience
- Experience with independent judgment and decision-making
- Ability to demonstrate critical thinking and analysis
- Creative problem-solving abilities
- Excellent interpersonal and communication skills, both verbal and written
- Proven customer service skills
- Demonstrated conceptual thinking and risk management abilities
- Strong organizational and time management skills
- Bachelor’s degree
A
Axelon Services Corporation