Claims Representative

Overview: Responsible to provide customer service to Agents, Policyowners, Beneficiaries, Attorneys, and various other authorized parties through professional verbal communication skills for both the life and annuity lines of business. Handle all incoming initial notification of claim calls by researching and reviewing the policy/contract data file to determine coverage under the policy provisions and to whom policy benefits are payable. Adhere to various legislation or settlement agreement requirements related to the handling of Claims calls. Responsibilities:

• Focus primarily on answering phone calls for both life and annuities lines of business from beneficiaries, agents, policyowners, 3rd parties or others by telephone using a professional and friendly approach; inquiries are also to be handled in a precise, thorough manner with attention to grammatical correctness and professional tone.
• Handle all incoming initial notification of claim calls by researching and reviewing the policy/contract data file to determine coverage under the policy/contract provisions and to whom the policy benefits are payable.
• Correspond via telephone to assist internal and external customers with claims and benefits questions in a professional and customer centric manner. Calls must be handled according to company policy and procedure, Service Level and Quality Standard Agreements.
• Research inquiry and provide additional information using escalation process to leadership as necessary.
• Acquire and maintain a working knowledge of company products as they pertain to the Claims Department across line of business (life and annuity). This includes staying familiar with the most up to date changes to procedures as well as completing any required training courses as assigned.
• Acquire and maintain basic system, tax procedure and compliance knowledge as it pertains to the Claims Department.
• Identify, communicate and proactively work to solve problems or issues before a service breakdown or complaint occurs.
• Utilize multiple systems as well as Microsoft Word, Excel and Outlook.
• Positive professional approach.
• Openly discuss concerns within the area and/or team and provide ideas for improvement.
• Promote teamwork by supporting team members and sharing knowledge.
• Continued department training on additional job functions for department advancement.
• Look for ways to improve a process and/or procedure and openly discuss your thoughts.
• Assist management with determining and implementing efficient workflow methods.
• Track and provide customer feedback via ACT by listening to the voice of the customer.
• Drive to meet/exceed all performance goals including KPIs (key performance indicators), SLAs (service level agreements) and other communicated standards.
• Proactively participate in daily huddle board discussions offering ideas, insights and support.
• Actively participate in problem solving sessions (standard work, root cause problem solving, etc.) as requested by your manager.
• Take ownership of implementing standard work and other changes into your daily work processes.
  

Qualifications:

• Bachelor's Degree Preferred
• 2-4 years' Insurance or Annuity/Life Claim experience Preferred
• Must have the ability to communicate effectively and tactfully with agents, policyholders and beneficiaries
• Must have knowledge of and ability to maneuver through multiple information screens
• Previous customer service experience preferred
• Must have strong organizational skills
• Strong problem solving skills
• Ability to work efficiently and independently or in a team environment
• Able to adapt to frequent change
• An appreciation for detail and problem solving skills
• Computer skills, PC, Microsoft Office
• Excellent verbal and written communication skills

Suitability Requirements: • Criminal background check required.
Company Information: •Sammons Financial Group offers a competitive benefit package that includes: Health, Dental, Vision, Company Paid Retirement, PTO and Holiday Pay.

• Our Employee Stock Ownership Plan (ESOP) is a 100% company-funded retirement plan, so you can save for retirement without contributing a penny of your own paycheck.
• Healthy balance between work and personal lives. Friday afternoons off all year long, competitive PTO, and generous number of paid holidays.
• Our incentive program for defined goals subject to eligibility and performance. Monetary rewards are based on individual and/or overall company performance.
• Colleagues who support one another, model our core values, and drive our healthy, high-performing culture. Pay Transparency Verbiage: Range includes data points from multiple labor markets. Specific range is dependent on the labor market where the incumbent will be hired to perform the position. Starting salary is dependent on candidate qualifications and experience. For a narrower salary range specific to your labor market, please inquire. Work Authorization/Sponsorship: At this time, we’re not considering candidates that need any type of immigration sponsorship now or in the future or those needing work authorization for this role (This includes, but is not limited to students on F1-OPT, F1-CPT, J-1, etc.)