PDMU Claims Specialist I

Company: Lincoln Financial
Location: Omaha
Posted on: May 17, 2020

Job Description:

Alternate Locations: Atlanta, GA (Georgia); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

Relocation assistance is not available for this opportunity.

Level: N3-1

Requisition #63885

About the Company

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas - Life Insurance, Annuities, Retirement Plan Services and Group Protection - focus on supporting, preserving and enhancing over 17 million customer's lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $238 billion in assets under management as of December 31, 2018.

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees' futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.
General Purpose of Job
This position will perform and deliver on routine and non-routine assignments for his/her assigned area(s) of claims responsibility independently in accordance with established procedures/guidelines.S/he will process increasingly complex claims ensuring the fair, ethical and timely processing of assigned claims.Duties and Responsibilities
Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role.Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.Ensures the accuracy and completeness of submitted claims.Escalates claims issues/concerns to senior team members and/or management.Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelinesMeets or exceeds departmental quality and service standards.Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions.Processes increasingly complex assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services.Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.Provides routine responses and a diverse range of information to junior team members' questions to support organizational capabilities.Recognizes issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.Reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge.Reviews increasingly complex submitted claim information for payment.Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.Works overtime as needed.Additional Position Responsibilities
Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processesPerforms other duties as required.Remains current in profession and industry trends.Other Skills and Abilities
Ability to perform under stress in cases of emergency, critical or hazardous situations.Ability to work with others in a team environment.Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers, etc.).Demonstrates ability to work in a fast-paced environment.Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.Demonstrates strong interpersonal skills with a collaborative style.Demonstrates the ability to use sound judgment and discretion regarding confidential information.Finds common ground and can gain collaboration among management, colleagues and peers.Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).Successfully completes regulatory and job training requirements.Education
High School or GED - Minimum RequiredCertifications
Experience
2 - 3 Years of claims experience that directly aligns with the specific responsibilities for this position OR For candidates with an Associates Degree or above, 0-1 year of claims experience that directly aligns with the specific responsibilities for this position. (Required )
This position may be subject to Lincoln's Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln's current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

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Keywords: Lincoln Financial, Omaha , PDMU Claims Specialist I, Other , Omaha, Nebraska