What are the responsibilities and job description for the Claims Administrator I position at GBU Life?
Job Summary
Provides customers with courteous customer service in person or over the phone; strives to retain present customers to serve customers’ needs. Research and processes death claims and assists with intake process.
DUTIES AND RESPONSIBILITIES:
Provides customers with courteous customer service in person or over the phone; strives to retain present customers to serve customers’ needs. Research and processes death claims and assists with intake process.
DUTIES AND RESPONSIBILITIES:
- Reviewing and verifying insurance claims to ensure that they are complete and accurate.
- Investigating and analyzing claims to determine their validity and eligibility for payment.
- Communicating with policyholders, beneficiaries, and other stakeholders to gather information and resolve issues.
- Resolves mostly routine and some nonroutine, more complex problems and communicates solutions or requested information to the customer including, but not limited to, account balances and histories.
- Gains or has attained full proficiency in a specific area of discipline.
- Performs maintenance on accounts per customer request.
- Provides timely resolution of customer/producer complaints, concerns, and inquiries.
- Builds effective relationships and trust with producers, customers, and potential customers.
- Maintains knowledge of changes to the business environment.
- Proactively gathers and updates customer information during interactions.
- May assist with policy changes, claims, and other administrative responsibilities.
- Understand the full array of the department’s responsibilities to provide backup, when necessary
- Supports marketing campaigns and product launches.
- Processes customer transactions including but not limited to inflows or outflows of cash or cash equivalents; ensures all necessary information is in place prior to completing transaction; sends appropriate correspondence.
- Distribute all incoming correspondence, when necessary.
- Properly adheres to company risk management principles:
- Adhering and supporting GBU’s Enterprise Risk Management Framework.
- Understanding and complying with applicable laws, regulations, policies and procedures; completing all required training; executing and monitoring controls effectively (as applicable); appropriately identifying, assessing, escalating and remediating risks, potential issues and control failures (as applicable); and reporting compliance or regulatory concerns to management.
- Understanding and conducting oneself in accordance with the Employee Handbook and preserving GBU’s brand and reputation.
- Performs other related duties as assigned by management
- Claims experience preferred.
- Minimum two (2) years of customer service experience or equivalent preferred.
- Excellent customer service skills.
- Excellent verbal and written communication skills.
- Commitment to excellence and high standards.
- Strong organizational skills; able to manage priorities and workflow.
- Ability to work independently and as a member of various teams.
- Ability to understand and follow written and verbal instructions.
- Ability to perform diversified clerical functions and basic accounting procedures.
- Ability to effectively communicate with people at all levels and from various backgrounds.
- Attention to detail.
- Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
- Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
- Medical, Dental Vision
- Company paid HRA
- 401(k) match
- Pension Plan
- LongTerm & ShortTerm Disability
- Life Insurance & AD&D
- PTO and VTO (Volunteer Time Off)
Salary : $21 - $23