Posted: Saturday, June 10, 2017 12:58 PM
Alternate Locations: Atlanta, GA (Georgia); Omaha, NE (Nebraska)
Relocation assistance is not available for this opportunity.
About the Company
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. Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates.
This position will consult/analyze and deliver on more complex assignments/projects for his/her assigned area(s) of responsibility. S/he will also act as a resource to applicable internal/external stakeholders. S/he will be responsible for the analysis and management of assigned more complex claims. S/he will review, investigate, and make claim determinations regarding coverage, compensability, and appropriateness of claims.
:Analyzes and processes more complex claims by investigating, gathering and obtaining information to make claim determinations.
:Analyzes claimants coverage contracts to determine payment eligibility is met.
:Collaborates with appropriate internal stakeholders to determine claim eligibility.
:Conducts interviews with external stakeholders (e.g. physicians, claimants, and/or lawyers) on more complex claims.
:Evaluates and makes recommendations regarding more complex claim eligibility determinations to management.
:Makes more complex claim determinations.
:Negotiates settlement of more complex claims up to designated authority level and makes claims payments.
:Partners with junior team members on more complex claim reviews and determinations.
:Partners with Business Analysts to identify requirements in support of strategic projects
Education and Experience
:3 : 5+ Years experience in claims support that directly aligns with the specific responsibilities for this position (Preferred)
:Reporting and analysis background and project management experience preferred
:Group Claims experience preferred
:4 Year/Bachelors Degree or equivalent work experience (4 years of experience in lieu of Bachelors) in Business or Finance (Minimum Required)
There is no Certification or Licensure Listed
:Travel Type :National Domestic
:Travel Amount :up to 10
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.
• Location: Omaha
• Post ID: 8835628 omaha