Claims Analyst jobs in Iowa

The Complex Claims Analyst is responsible for handling all Living Benefits (disability, waiver of premium and accelerated benefit riders) and contestable life claims in accordance with internal guidelines. The Complex Claims Analyst is also responsible for assisting with the development, drafting and implementation of procedures, regulatory compliance and financial controls associated with internal controls. Responsibilities include assistance with internal aspects of both Direct and Reinsurance claims administration, including legal, special investigation unit, finance, actuarial and operational support.

Duties and Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Reviews and investigates Living Benefits, disability claims and Life Claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, to gather pertinent data to analyze the claim

· Approve claim decisions, disability management strategies and payments on complex or higher liability claims

· Handle routine phone inquiries from, or to, disability claimants and/or respective clients

· Reviews evidence and renders determination for ongoing benefits on Continuing Disability Review claims

· Quality checking pending disbursements for outgoing claim payments

· Must have excellent verbal and listening skills, be detailed oriented and have the desire and ability to provide customer service in a professional positive manner while maintaining an empathetic voice with the customer/agent

· Takes ownership of complex cases and escalates to management as appropriate

· Works autonomously within established guidelines with a limited degree of supervision

· Complete all necessary activity as defined in departmental policies and procedures

· Investigation, analysis and resolution of escalated and complex claim cases

· Escalate claim resolution to management when necessary

· Organize work/resources to accomplish objectives and meet deadlines

· Maintain compliance with federal and state regulations and reinsurance treaty provisions.

· Maintain the privacy and security of all confidential and protected information; uses and discloses only that information which is necessary to perform the function of the job

· Demonstrate the willingness and ability to work collaboratively with other key internal and external staff to obtain necessary information both internal and external partners.

· Participate in all educational activities and demonstrates personal responsibility for job performance

· Take initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities, as deemed appropriate

· Consistently demonstrate a positive and professional attitude at work

· Maintain compliance with established corporate and departmental policies and procedures

· Management retains the discretion to add or change the duties of the position at any time.

Requirements

Experience

· Minimum of 5 years of experience managing disability & Life claims assessors in a direct management or third party governance role.

· Preferably extended experience with companion products, LTC, Pre-need, Disability Income, Waiver of Premium, etc.

· Preferable experience with one of more of the following systems: TAI, Cyberlife, AWD, FAST and LifeCad.

· College degree desired, equivalent claims experience will be accepted.

Life Office Management Association certifications or comparable experience

Job Type: Full-time

Pay: $40,000.00 - $650,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• In-person
• Office

Experience:

• Microsoft Office: 1 year (Preferred)
• Customer service: 1 year (Preferred)

Work Location: In person