What are the responsibilities and job description for the Disability Claims Examiner position at TEKsystems?
*Description*
Job Purpose:
Under supervision, this position is responsible for examining and processing all claim types including short term or long term disability, life, waiver of premium, critical illness, accident insurance and other claim type for various policies. May perform a variety of related duties or travel to client sites to discuss / resolve claim issues.
Job Responsibilities:
*Proactively communicate and respond to claim inquiries from insureds, beneficiaries, policyholders and internal stakeholders; resolve issues through effective verbal and written communication by involving appropriate people within, or outside the department or company; effectively and professionally represent the company in all interactions.
*Investigate, research, verify and diligently obtains medical information on all claim types to determine eligibility and interpret information relating to the severity of the stated disability or incident.
*Adjudicate claims in accordance with established policies and procedures.
*Adhere to quality, production, service and departmental guidelines to process claims.
*Provide professional, prompt and accurate customer service via telephone and in writing to members, groups, doctors, etc., in handling various claim types.
*Approve or deny claims within policy limits; recommend approval, denial, rescission or settlement of disputed claims.
*Examine and analyze life claim information and makes benefit decisions .
*Additional Skills & Qualifications*
Must have experience with adjudicating Accidental, Critical, Hospital or Short term Disability claims
Required Job Qualifications:
*Bachelor degree or 4 years of experience.
*2 years of claims experience.
*Problem solving and research skills.
*PC proficiency to include Word, Excel, PowerPoint, Outlook and Lotus Notes.
*Knowledge of state regulations, statutes, and ERISA.
*Detailed oriented.
Hybrid role can sit in Alburquerque, NM ; Amarillo, TX ; Richardson , TX; Helena, Montana ; Tulso, OK or Lombard, IL
*Pay and Benefits*
The pay range for this position is $21.00 - $25.00
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a hybrid position in Helena,MT.
*Application Deadline*
This position will be accepting applications until Feb 6, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Job Purpose:
Under supervision, this position is responsible for examining and processing all claim types including short term or long term disability, life, waiver of premium, critical illness, accident insurance and other claim type for various policies. May perform a variety of related duties or travel to client sites to discuss / resolve claim issues.
Job Responsibilities:
*Proactively communicate and respond to claim inquiries from insureds, beneficiaries, policyholders and internal stakeholders; resolve issues through effective verbal and written communication by involving appropriate people within, or outside the department or company; effectively and professionally represent the company in all interactions.
*Investigate, research, verify and diligently obtains medical information on all claim types to determine eligibility and interpret information relating to the severity of the stated disability or incident.
*Adjudicate claims in accordance with established policies and procedures.
*Adhere to quality, production, service and departmental guidelines to process claims.
*Provide professional, prompt and accurate customer service via telephone and in writing to members, groups, doctors, etc., in handling various claim types.
*Approve or deny claims within policy limits; recommend approval, denial, rescission or settlement of disputed claims.
*Examine and analyze life claim information and makes benefit decisions .
*Additional Skills & Qualifications*
Must have experience with adjudicating Accidental, Critical, Hospital or Short term Disability claims
Required Job Qualifications:
*Bachelor degree or 4 years of experience.
*2 years of claims experience.
*Problem solving and research skills.
*PC proficiency to include Word, Excel, PowerPoint, Outlook and Lotus Notes.
*Knowledge of state regulations, statutes, and ERISA.
*Detailed oriented.
Hybrid role can sit in Alburquerque, NM ; Amarillo, TX ; Richardson , TX; Helena, Montana ; Tulso, OK or Lombard, IL
*Pay and Benefits*
The pay range for this position is $21.00 - $25.00
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a hybrid position in Helena,MT.
*Application Deadline*
This position will be accepting applications until Feb 6, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $21 - $25
