Concierge Claims Examiner

Company: Securian Financial Group
Location: Bay City
Posted on: November 19, 2023

Job Description:

*At Securian Financial the internal title for this position is Customer Benefit Payments Sr. Representative.

Overview:

Securian Financial is hiring a Concierge Claims Examiner to join our team at our corporate headquarters location in Saint Paul, MN. The selected candidate will join the Concierge Claims Team, which is a specialized team of professionals that handle some of our highest profile clients as part of Group Life Insurance. We guarantee very high standards of performance to our clients and strive to exceed their expectations. We are passionate about providing world-class service and have built a reputation of delivering on our promises. We are looking for an associate who possess the characteristics necessary to be successful in one of the most respected life insurance claims organizations in the industry. Individuals must be focused on the needs of the client as well as those of the beneficiaries.

A commitment to excellence is a must, as well as a willingness to learn in an environment where we customize to the needs of our clients.

Responsibilities include but not limited to:

• Conducts investigations in a manner consistent with company standards of objectivity, fairness and reasonableness making claims decisions on claims within appropriate approval authority. Also, an understanding of investigative procedures and resources in order to conduct a prompt, objective, and complete investigation of the claim facts.
• Working knowledge of policy provisions exclusions and state regulations so that claims are handled accordingly, and recommendations are appropriate. This includes working closely with the legal and medical departments. This is done while maintaining awareness of expenses and especially client performance guarantees.
• Conducts research by email and phone with a variety of people (internal and external) to gather information necessary to continue or complete the review of a claim.
• Personalized concierge calls to beneficiaries to outline the process, answer their questions, and support them during a difficult time.
• Documents and communicates claim status and decision in a clear and organized manner to all interested parties.
• Exercises flexibility and creativity while making logical and high-quality decisions.
• Payment processing, data entry, records management, fraud prevention, and loss or eligibility investigations.
• Provides effective, customer-centric, and compliant communication to internal and external resources, clients, and partners.
• Adjudicates payments in compliance with regulatory requirements and applicable law, engaging legal, medical, and investigative resources, as necessary.
• Maintains accurate and complete payment record to improve the customer experience, quality review/audit process, and protect our company in the event of litigation and regulatory investigations.
• Makes critical risk assessments on behalf of Securian Financial and its clients.
• May manage or serve as subject matter expert for special projects.
• Ensures payment practices are efficient and in keeping with our organization's values and the highest ethical standards.
  Qualifications:
  
  • 2+ years of customer service experience.
  • Excellent attention to detail.
  • Strong analytical skills.
  • Good judgment and decision-making skills.
  • Strong written and verbal communication skills.
  • Good organizational skills.
  • Positive and compassionate attitude.
  • Demonstrated ability to effectively achieve results in both an individual production and team environment.
  • Ability to learn and adapt to new and/or changing technologies.
  • Desire to provide world-class customer service.
    Securian Financial believes in hybrid work as an integral part of our culture. Associates get the benefit of working both virtually and in our offices. If you're in a commutable distance (90 minutes) you'll join us 2-3 days each week in our offices to collaborate and build relationships. Our policy allows flexibility for the reality of business and personal schedules. When working in our offices at least two days per week isn't feasible (vacations, illness, travel, etc.), an eight day per month standard is an option.
    
    Physical job requirements:
    
    • Ability to work at least 40 hours per week
    • Ability to utilize keyboard, mouse and computer for up to 3-6 hours per day
    • Ability to utilize phone for approximately 2-4 hours per day
    • Ability to perform simple grasping including handwriting, paper manipulation, sorting, folding, etc. periodically throughout entire workday
      The physical job requirements described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
      
      Securian Financial has been around for 140 years. We're committed to giving back to our community, donating 15,000 employee volunteer hours this past year. We also provide extensive resources to our employees for professional development and growth and a number of diverse professional and social opportunities throughout the company. There's a reason our employees have voted us as a best place to work year after year! In addition:
      
      • Generous paid time off. We want you to take time off for whatever matters most to you!
      • Tuition reimbursement program. We value continuous learning at Securian!
      • Company-funded pension plan as well as 401K retirement plan - great resources to secure your financial future.
      • Continuous opportunities for new challenges.
      • Variety of health plan options as well as dental and vision plans.
      • Paid maternity/paternity leaves.
        Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at Employment@Securian.com, by telephone 651-655-5522 (voice), or 711 (Relay/TTY).
        
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        To view our legal statement click herePandoLogic. Keywords: Insurance Examiner, Location: Bay City, WI - 54723

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