Job Description
Adjudicates and approves claim that fall outside Level 1’s authority limits, cases that require special handling, or claims submitted for and/or by VIP customers as defined in the Life Claims Business Guidelines
Adjudicates and approves Death, Critical Illness, Daily Hospitalization Income, Accident Medical Expense reimbursement, Waiver of Premium, Accidental Death & Disability, Permanent Total Disability, and Terminal Illness Benefit claims from the retail (individual) and/or group lines of business within your delegated authority limits and stipulated turnaround time
Conducts the end-to-end claim case management from claims adjudication to the timely emailing of the decision letter to the claimant and/or distributor using WFI, RLS, iBPS, SCRM, MAP, and MS Outlook as work tools
Assist Claim Officers, as needed, in conveying the relevant claim terms and conditions with properly identified claimants and/or distributors, via email or a virtual meeting, when...