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  • Posted 8 hours ago
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Job Description

  • Claims Background, Process Life Insurance Claim request with Insurance Regulations
  • Reviewing & Indexing documents to determine type of request(s) and process them as per set guidelines
  • Review & Investigating Claims
  • Determines covered insurance losses by studying provisions of a policy or certificate.
  • Establishes proof of loss by studying documentation and assembling additional information from outside sources
  • Documents specific claims by completing and recording forms, reports, logs, and records.
  • Resolves claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
  • Ensures legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
  • Maintains quality customer service by following customer services practices and responding to customer inquiries
  • Provides legal support by assembling documentation for settlement action.
  • Maintains a good relationship with insurance departments.
  • Protects operations by keeping claims information confidential.
  • Processing transactions received through faxes, web submissions, mail, Contact Center requests, etc.
  • Processing a wide range of non-financial transactions through good order review for incoming contract changes due to death claim or divorce transactions.
  • Knowledge and proficiency of multiple mainframe systems necessary.
  • Researching in automated work distributor for duplicate work items, routing, as necessary.
  • Redirect documents to appropriate operational area as needed
  • Contribute to individual quality and productivity goals by meeting processing targets focused on turnaround time expectations
  • Promote a positive customer service mindset to surpass the expectations of customers through continuous improvement
  • Identify and capitalize on best practices to ensure consistency and optimal performance in a team based environment
  • Active participation in ongoing development of self
  • Continue to build additional knowledge and understanding of the client's business
  • Perform other duties as needed

Any Graduate

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About Company

At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We&#8217&#x3B;re your business evolution partner&#8212&#x3B;tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations.

Job ID: 143408531