Disability Appeals Specialist
Lincoln Financial Group - Omaha, NE

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As the Disability Appeals Specialist, you will be responsible for the risk management of appeals/complaints for the disability departments.

Responsibilities

Claims
  • Manage the risk appeals/complaints for disability departments.

  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Track all decisions, backlog, and pending files.
  • Review settled insurance claims to determine if processed in accordance with company practices and procedures.
  • Resolve complex, severe exposure claims, using high service oriented file handling.

Communication
  • Contact and/or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Confer with legal counsel on claims requiring litigation.
  • Present cases to the Appeals Council presenting and participating in active discussion. Accountable for responding to Presidential and/or Insurance Department complaints.
Education
  • Undergraduate degree or 4+ years of comparable work experience
  • Education experience and/or proficiency in disability claims and medical terminology required
Experience
  • 1-3 years of experience in disability claims that directly aligns with the specific responsibilities for this position.
  • A demonstrated track record of consistently meeting and/or exceeding performance expectations.
  • Possesses a bias for action and avoids workplace distractions; drives performance targets to completion.

Lincoln Financial Group - 19 months ago - save job - block
About this company
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Lincoln Financial Group is a diversified financial services organization headquartered in the Philadelphia region. With $150 billion as of...