Claim Analyst 2 - Specialty Product Team

at  Principal Financial Group

Des Moines, IA 50392, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate14 Aug, 2024USD 35 Hourly15 May, 2024N/AGood communication skillsNoNo
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Description:

What You’ll Do:
As a Claim Analyst 2 on our Specialty Product Team, you’ll get the opportunity to review, analyze, and make appropriate and accurate decisions on Accident, Critical Illness, Health Screenings and Hospital Indemnity claims in accordance with the policy and state/federal laws and regulations. This is a fast-paced environment where everyday offers changes all while assisting our customers who may be facing major changes in life.

Here are a few examples of the kinds of things you’ll do:

  • Analyze and adjudicate Specialty Product claims after determining and obtaining all appropriate claim requirements. Analyze enrollment, medical, and vocational information to make effective and timely claim decisions. Maintain fully documented claim file providing a clear and understandable audit trail required for compliance and legal purposes.
  • Identify and refer claims with recommendation for appropriate action to other resources (senior claims personnel, Medical, Law, etc).
  • Communicate with claimants, employers, and medical providers regarding claim decisions, status, and all other aspects of the claim process in writing or verbally.
  • Prepare claim payments based on appropriate interpretation and administration of multiple different contracts and contract provisions
  • Perform other job-related duties and special projects as required.

Operating at the intersection of financial services and technology, Principal builds financial tools that help our customers live better lives. We take pride in being a purpose-led firm, motivated by our mission to make financial security accessible to all. Our mission, integrity, and customer focus have made us a trusted leader for more than 140 years!

Who You Are:

  • High school diploma or equivalent plus 1 plus years work experience
  • Bachelor’s degree, medical and or legal terminology, and prior Life and Disability or Specialty Product claims experience preferred
  • Ability to maintain a high degree of accuracy and pay strict attention to detail
  • Must be able to work in a team environment
  • Good analytical, organizational, problem solving and decision-making skills
  • Ability to maintain confidentiality
  • Good verbal and written communication skills (must be able to communicate with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals)
  • Good math skills
  • Ability to maintain good public relations with customers (employers, employees)

Salary Range Information: Salary ranges below reflect targeted base salaries. Non-sales positions have the opportunity to participate in a bonus program. Sales positions are eligible for sales incentives, and in some instances a bonus plan, whereby total compensation may far exceed base salary depending on individual performance. Actual compensation for all roles will be based upon geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salary Range: $18.39 - $35.19 / hour Time Off Program: Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period. Employees can use their PTO for vacation, personal or short-term illness. Pension Eligible: Yes Additional Information:

EXPERIENCE PRINCIPAL

While our expertise spans the globe, we’re bound by one common purpose: to foster a world where financial security is accessible to all. And our success depends on the outstanding experiences, backgrounds, and talents of our employees – individually and all of us together. Explore our core values, benefits and why we’re an outstanding place to grow your career!

Responsibilities:

  • Analyze and adjudicate Specialty Product claims after determining and obtaining all appropriate claim requirements. Analyze enrollment, medical, and vocational information to make effective and timely claim decisions. Maintain fully documented claim file providing a clear and understandable audit trail required for compliance and legal purposes.
  • Identify and refer claims with recommendation for appropriate action to other resources (senior claims personnel, Medical, Law, etc).
  • Communicate with claimants, employers, and medical providers regarding claim decisions, status, and all other aspects of the claim process in writing or verbally.
  • Prepare claim payments based on appropriate interpretation and administration of multiple different contracts and contract provisions
  • Perform other job-related duties and special projects as required


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Insurance

Banking / Insurance

Insurance

Graduate

Proficient

1

Des Moines, IA 50392, USA