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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claim administration with a strong focus on timely processing, accurate setup, and effective communication with internal partners and third-party administrators. Possesses exceptional organizational and analytical skills to manage high volumes of cases while maintaining attention to detail and meeting aggressive deadlines.
Highest-signal resume keywords
Claim Administration ExperienceOffice 365 ProficiencyAnalytical SkillsTime Management SkillsCustomer-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 EvaluationSLA ReportingDocument PreparationCase Management
Soft Skills
AdaptabilityResilienceProblem OwnershipOrganizational SkillsAttention to Detail
Tools & Technologies
ExcelOutlookWord
Industry Keywords
ClaimsThird Party AdministratorsService StandardsContinuous ImprovementHigh-Energy Culture
About the role
Key responsibilities & impact- Support adjudicators and internal partners to ensure timely claim processing and accurate claim setup
- Search systems to locate all contracts held by the deceased
- Set up death notifications and request application files and certificates
- Prepare written correspondence and follow up on pending claims
- Prioritize inquiries and follow-ups within service standards
- Attach inquiries to appropriate files and distribute them to appropriate adjudicators
- Manage the business inbox and voicemail, clearing all items within 24 hours
- Prepare monthly SLA reporting
- Correspond with Third Party Administrators for claims
- Set up claim lines for new TPA claims
- Mail claim packages as required
Requirements
What you’ll need- 1-2+ years’ experience in claim administration or equivalent industry exposure
- Office 365, including Excel, Outlook & Word
- Ability to adapt and stimulate change to achieve desired results
- Resilience and ability to drive forward toward objectives in the face of adversity and resistance
- Solution-focused problem ownership through resolution
- Ability to make timely decisions using analytic/systematic reasoning
- Exceptional time management skills
- Ability to manage high volumes of cases within aggressive deadlines
- Strong analytical skills to evaluate conflicting information from various key sources and assess risk
- Excellent organizational skills with ability to switch between tasks easily
- Strong attention to detail when searching large databases or reading documents
- Ability to thrive in a high-energy culture
- Customer-service orientation
- Continuous-improvement mindset
Benefits
Comp & perks- Health insurance
- Dental insurance
- Mental health benefits
- Vision insurance
- Short- and long-term disability insurance coverage
- Life and AD&D insurance coverage
- Adoption/surrogacy benefits
- Wellness benefits
- Employee/family assistance plans
- Retirement savings plans
- 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
- Learning and career growth opportunities
- Inclusion and well-being support
- Incentive compensation tied to business and individual performance
