Long Term Disability Claims Examiner

Alternate Locations: Omaha, NE (Nebraska)

Relocation assistance is not available for this opportunity.

Hiring Manager: Jarod L. Dowse

Level: N3

Requisition #56693

About The Company

Led by over 10,000 employees  – including you –  Lincoln Financial Group provides advice and solutions that help empower people to take charge of their financial lives with confidence and optimism. Today, more than 17 million customers trust our retirement, insurance and wealth protection expertise to help address their lifestyle, savings and income goals, as well as to guard against long-term care expenses.

The Role

As a LTD Claims Examiner II, you will have the overall responsibility for managing long-term disability claims in an ethical manner, ensuring quality decisions, accurate time calculations, and proactive communication with claimants and employers. You will have the responsibility to facilitate the timely transfer of long-term disability claims, without interruption or delay in decision time.  You will be expected to deliver a very high level of consultative customer service.

 

Functional Responsibilities

 

Claims

  • Investigates, evaluates, interpreters and makes determination of long-term disability claims with sound and impartial claim judgments, using appropriate duration guidelines when necessary.
  • 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.
  • Prioritizes and balances claims in an efficient manner while maintaining productivity, quality, and time service requirements, as outlined by senior management.
  • Provides routine responses and a diverse range of information to junior team members’ questions to support organizational capabilities.
  • Investigates and determines the outcome of disability claims with sound and impartial judgement using available resources such as vocational and  medical information.
  • Reviews increasingly complex submitted claim information for payment and ensures the accuracy and completeness of submitted claim information.

 

Decision Making

  • Investigates, evaluates, interpreters and makes determination of long-term disability claims with sound and impartial claim judgments, using appropriate duration guidelines when necessary.
  • 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
  • Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge
  • Prioritizes and balances claims in an efficient manner while maintaining productivity, quality, and time service requirements, as outlined by senior management.
  • Investigates and determines the outcome of disability claims with sound and impartial judgement using available resources such as vocational and  medical information.
  • Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.

 

Customer Service

  • Communicates with claimants, policyholders, attorneys, physicians and brokers directly either orally or written.
  • Resolves claim-specific issues while maintaining internal and external customer satisfaction.
  • 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.

 

Requirements

Education

 

  • High School Diploma or GED

 

Experience

 

  • 2-3 yrs of experience in insurance claims that directly aligns with the specific responsibilities for this position OR For candidates with an Associate’s Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position.
  • 0-1 yrs of insurance policy contracts experience
  • Proficiency with Microsoft Office Suite
  • A demonstrated track record of consistently meeting and/or exceeding performance expectations
  • Possesses a bias for action and avoids workplace distractions
  • Drives performance targets to completion
  •  

 

 


This position may be subject to Lincoln’s Political Contribution Policy.  An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information.  Applicants are evaluated on the basis of job qualifications.  If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

 

Company
Lincoln Financial
Posted
09/06/2018
Type
Full time
Location
Omaha, NE 68046, US