
Life Claims Representative
Make claim / customer eligibility determinations and manage on-going life insurance claims through applying appropriate contractual provisions, following legal guidelines, and working closely with Technical leadership. Communicate with customers, beneficiaries, business partners, and employers, to gather information regarding assessing eligibility and ongoing management of benefits. With supervision, respond to high levels of call volume from customers and clients. Respond to various written and telephone inquiries, including eligibility, approval/denial determinations, status and continuation or closure of benefits. Pay all covered claims accurately and timely. Execute on all customer performance guarantees. Adhere to standard timeframes for processing mail, tasks and outliers. Understand Cigna Group Operations and Corporate Compliance, Policies and Procedures and best practices. Stay abreast of ongoing trainings associated with role and business unit objectives.
One year minimum of professional experience strongly preferred
Proven track record of successfully driving results in a complex matrix environment is a (+)
Ability to manage multiple and changing priorities.
Knowledge of legal liability, insurance coverage and medical terminology is a (+)
Ability to build and maintain effective relationships
MS Excel
MS Word
Record Keeping Skills
Time Management Skills
Strong negotiation skills
Process Improvement
detail-oriented
Results-oriented
Self-Motivated
Problem Solving Skills
Flexibility/Adaptability
Verbal and Written Communication
According to JobzMall, the average salary range for a Life Claims Representative in 225 W Station Square Dr, Pittsburgh, PA 15219, USA is between $35,000 and $89,000. The salary range can vary based on the employer, experience, and other factors.
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New York Life Insurance Company is the third-largest life insurance company in the United States, the largest mutual life insurance company in the United States.

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