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Integrated Absence Associate Claims Specialist - Remote Available

Company: Lincoln Financial Group
Location: Harrisburg
Posted on: September 18, 2022

Job Description:

Alternate Locations: Phoenix, AZ (Arizona); US Southwest; US West; Work from HomeWork Arrangement: Hybrid/HomeRelocation assistance: : is not available for this opportunity.Pay Range: $17.79 - $26.68Bonus Potential:Requisition #: 70151General Purpose of JobThis position will perform and deliver on routine and non-routine assignments for integrated absence claims independently in accordance with established procedures / guidelines. They will process increasingly complex claims ensuring the fair, ethical and timely processing of integrated absence claims.Duties and ResponsibilitiesMeets or exceeds departmental quality and service standards.With limited supervision, interprets increasingly complex policy provisions to assess eligibility and render claims decisions based on contractual definitions. Processes more complex integrated absence claims, seeking appropriate resources as needed.Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.Works overtime as needed.Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelinesSupports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.Reviews increasingly complex medical records/information and effectively leverages a variety of internal/external tools & resources to understand medical terminology, duration, functionality, documentation, organization, and overall claims workflow.Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role.Provides responses and a diverse range of information to junior team members' questions to support organizational capabilities.Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services.Obtains increasingly complex information needed (e.g. financial and medical records, etc.) to make claim determinations and accurately calculate more complex benefits, seeks second-level review as needed.Conducts initial and ongoing claimant interviews and appropriately updates claim file/documentation.Identifies benefit discrepancies and completes more complex adjustments as needed.Follows processes for consistent case management, including creation and maintenance of action plans that outline timing of follow-up activities and key decisions to effectively administer policy provisions.Identifies and applies special handling provisionsFocuses claim activities on managing claim duration and financial liability as per contractual provisions, while ensuring compliance with applicable regulations & company policies.Reviews increasingly complex submitted claim information for payment.Ensures the accuracy and completeness of submitted claims.Escalates claims issues/concerns to senior team members and/or management.Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.Additional Position ResponsibilitiesCarries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.Remains current in profession and industry trends.Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processesPerforms other duties as required.Other Skills and AbilitiesDemonstrates ability to work in a fast-paced environment.Finds common ground and can gain collaboration among management, colleagues and peers.Successfully completes regulatory and job training requirements.Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers, etc.).Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.Ability to work with others in a team environment.Demonstrates strong interpersonal skills with a collaborative style.Demonstrates the ability to use sound judgment and discretion regarding confidential information.Ability to perform under stress in cases of emergency, critical or hazardous situations.Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).EducationHigh School or GED - Minimum RequiredCertificationsExperience2 - 3 Years of claims experience directly aligned to the specific responsibilities for this position (Required )Whats it like to work here?At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.Whats in it for YOU:

  • A clearly defined career framework to help you successfully manage your career
  • Leadership development and virtual training opportunities
  • PTO/parental leave
  • Competitive 401K and employee benefits (https://hrdirectdocs.lfg.com/misc/HR/Recruiting/BenefitsResourcesGuide.pdf)
  • Free financial counseling, health coaching and employee assistance program
  • Tuition assistance program
  • A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
  • Effective productivity/technology tools and trainingWork ArrangementHybrid/Home : Employees will work from home on average more days per week.Lincoln will evaluate the following when setting the successful candidate's wage rate: Prior work or industry experience. Education level to the extent education is relevant to the position. Unique skillsAbout The CompanyLincoln Financial Group, a Fortune 200 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas Life Insurance, Annuities, Retirement Plan Services and Group Protection focus on supporting, preserving and enhancing over 17 million customers lifestyles and retirement outcomes.Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $324 billion in end-of-period account values as of June 30, 2021.Ranked one of the Best Large Employers in America and Best Employers for Women by Forbes magazine as well as one of Newsweeks Most Responsible Companies, Lincoln Financial Group makes a serious investment in our employees futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.Lincoln is committed to creating a diverse and inclusive (https://www.lfg.com/public/aboutus/companyoverview/diversityinclusion?audience_page_id=1422918942386) environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.Lincoln Financial Group is a committed corporate citizen included on major sustainability indices including the Dow Jones Sustainability Index North America and FTSE4Good. Dedicated to diversity and inclusion, we earned perfect 100 percent scores on the Corporate Equality Index and the Disability Equality Index. Follow us on Facebook (http://www.facebook.com/lincolnfinancialgroup) , Twitter (https://mobile.twitter.com/lincolnfingroup) , LinkedIn (https://www.linkedin.com/company/4307?trkInfo=tas%3Alincoln+financial%2Cidx%3A3-1-3&trk=tyah) , and Instagram (https://www.instagram.com/lincolnfingroup/) . Sign up for email alerts at http://newsroom.lfg.comBe Aware of Fraudulent Recruiting ActivitiesIf you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.Additional InformationThis position may be subject to Lincolns 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 Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.Lincoln Financial Group (LFG) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.This Employer Participates in E-Verify. See the E-Verify (https://www.e-verify.gov) notices.Este Empleador Participa en E-Verify. Ver el E-Verify (https://www.e-verify.gov/es) avisos.Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.

Keywords: Lincoln Financial Group, Harrisburg , Integrated Absence Associate Claims Specialist - Remote Available, Other , Harrisburg, Pennsylvania

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