Claims Administrator

7 Days Old

Job Details
Description
At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!
The Claims Administrator is responsible for helping our customers maintain a sense of security and their well-being by effectively providing timely and accurate administrative support to the OneAmerica Financial Claims teams. The Claims Administrator acts as a customer service advocate by providing expedient guidance and resolution for inbound customer inquiries. The Claims Administrator appropriately requests, verifies, and collects claim requirements via phone and/or in writing.
Will effectively train and mentor less experienced Claims Administrators and perform audits.
Primary Responsibilities may include, but are not limited to:
Customer Experience and support 40% Provides timely, accurate, professional, courteous, empathic, and thoughtful service. Timely and accurately documents and/or communicates, phone conversations in accordance with department guidelines.
Requests claim requirements from policyholders, insureds, policyowners, power of attorneys, third party administrators, etc. Ensures accuracy and completeness of claims submitted.
Performance and Service expectations: 50% Actively delivers results and contributes to and maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. The Claims Administrator will take appropriate action to achieve objectives and will independently adjust actions and assist fellow associates in response to shifting priorities and rapid change.
Correctly sets up a variety of group and individual and/or group long term care, life, life waiver of premium, death, disability, annuity, and unclaimed property claims utilizing multiple administrative and claim systems.
Monitors one or more of the OneAmerica® Claim mailboxes timely for incoming correspondence and correctly indexes to the appropriate AWD work type. Communicate receipt of incoming correspondence according to department procedures.
Process Improvement 10% Demonstrates EWA and support of the OneAmerica Ways. Identify opportunities for efficiency and innovation in process and communicate to leadership team.
Required Education and/or Certifications:
Must have a High School Diploma or GED
Recommended Education and/or Certifications:
Bachelors' Degree preferred in Business Management, Operations Management, Statistics, or Insurance
Work Experience and skills required: Desired minimum of 1-2 years' work experience. Prior experience within a claims operation is preferred. Knowledge of insurance administration terms and processes is a plus.
Exhibits attention to detail
Ability to get high quality work done and maintain or exceed expectations
Ability to excel in a fast-paced environment
Demonstrates excellent oral and written communication skills
Works well within a collaborative team environment 02B
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This selected candidate will be expected to work hybrid in Indianapolis, IN, or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
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Location:
South Portland

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