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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in claim administration with a strong focus on analytical reasoning, time management, and customer service. Capable of managing high volumes of cases while ensuring timely claim processing and adherence to service standards.
Highest-signal resume keywords
Claim Administration ExperienceProficiency With Office 365Strong Analytical SkillsExceptional Time ManagementCustomer-Service Orientation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim ProcessingData AnalysisSLA ReportingDocument ReviewRisk Assessment
Soft Skills
AdaptabilityResilienceSolution-Focused ApproachOrganizational SkillsAttention To Detail
Tools & Technologies
Office 365ExcelOutlookWord
Industry Keywords
Third Party AdministratorsClaims ManagementHigh-Energy CultureContinuous Improvement
About the role
Key responsibilities & impact- Search systems to locate all contracts held by the deceased
- Set up death notifications and request application files and certificates
- Prepare written correspondence regarding pending claims
- Prioritize inquiries and follow-ups within service standards
- Attach inquiries to the appropriate file and distribute them to the appropriate adjudicator
- Manage the business inbox and voicemail, clearing all items within 24 hours
- Prepare monthly SLA reporting
- Correspond with Third Party Administrators as required for claims
- Set up claim lines for new TPA claims
- Mail claim packages as required
- Support adjudicators and internal partners to ensure timely claim processing and accurate claim setup
Requirements
What you’ll need- 1-2+ years’ experience in claim administration or equivalent industry exposure
- Proficiency with Office 365, including Excel, Outlook, and Word
- Ability to adapt and stimulate change to achieve desired results
- Resilience and ability to drive forward toward objectives despite adversity and resistance
- Solution-focused approach; ability to own problems through resolution and make timely decisions
- Analytical/systematic reasoning to positively impact results, organizational performance, and customer experience
- Exceptional time management skills and ability to manage high volumes of cases within aggressive deadlines
- Strong analytical skills to evaluate conflicting information from various sources and assess risk in making timely and effective decisions
- Excellent organizational skills and ability to switch between tasks easily
- Strong attention to detail when searching large databases or reviewing documents
- Ability to thrive in a high-energy culture
- Customer-service orientation
- Continuous improvement mindset
Benefits
Comp & perks- Incentive programs and incentive compensation tied to business and individual performance
- Health insurance
- Dental insurance
- Mental health benefits
- Vision coverage
- Short- and long-term disability coverage
- Life and AD&D insurance coverage
- Adoption/surrogacy benefits
- Wellness benefits
- Employee/family assistance plans
- Retirement savings plans, including pension
- Global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Paid holidays, vacation, personal, and sick days
- Statutory leaves of absence
- Flexible environment focused on well-being and inclusion
- Learning and career growth support
