Insurance Claims Examiner

Randstad USA Saint Paul, MN
insurance insurance payments research team education medical people client service digging tracking community financial
December 7, 2022
Randstad USA
Saint Paul, MN
OTHER

Do you have the knack of research, an investigative spirit, system savvy, and exceptional client service skills?  Do you enjoy digging into information and tracking it down to get to the right answer?  This Insurance Claims Examiner role is with an exceptional, community oriented financial corporation and offers the ability to work within a team, yet have your own accountability.  If you enjoy working with others and investigating, we encourage you to apply!  The chosen new contract team member needs to be in commutable distance to DT St. Paul; but, it is currently set up as 100% WORK FROM HOME!

 

salary: $23 - $28 per hour
shift: First
work hours: 8 AM - 5 PM
education: Associate

Responsibilities

  • Review and process living life insurance claims
  • Investigate claims
  • Evaluate investigation results and authorize payments
  • Summarize, when necessary, to substantiate reason for payment or denial of claim
  • Monitor the course of claims' investigations and utilize multiple resources and databases to reach claim decisions
  • Document claims decisions
  • Identify problems and all relevant issues in straightforward situations; assessing each using standard procedures to make sound decisions
  • Adjudicate payments in compliance with regulatory requirements and applicable law; engaging legal, medical, and investigative resources as necessary
  • Maintain accurate and complete payment record to improve the customer experience
  • Manage a high volume of claims while maintaining established turnaround performance guarantees
  • Assist with the handling of unit telephone calls and provide information regarding claim status, policy provisions and exclusions

Skills
  • Insurance
  • Claims Processing (2 years of experience is required)
  • Living Benefits Claims Process (1 year of experience is preferred)
  • Attention to Detail
  • Analytical Thinking
  • Positive and Compassionate
  • Microsoft Office (4 years of experience is required)
  • Insurance Operations (2 years of experience is required)
  • Communication
  • Research
  • Investigative Mindset
  • Risk - Mitigation
  • Insurance Payments
  • Organizational Skills
  • Insurance Claim Processing (2 years of experience is required)

  • Qualifications
  • Years of experience: 2 years
  • Experience level: Experienced

  • Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.



    Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

    At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

    Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).



    For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.


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