Claims Specialist

• Review and register all incoming claims online using the Group Administration claim system.
• Request additional information for incomplete claim forms and forward claims exceeding dollar limits or assigned by benefit type to the Life Claims Specialist.
• Research and correct missing or erroneous information on 1099s, B-Notices, and Paid and Pending reports; update systems.
• Assist the Life Claims Specialist by filing source documents.
• Handle internal and external telephone inquiries regarding claim status and claims handled by this position.
• Review and log incoming mail; prepare and maintain file correspondence.
• Process Group Life claims, including Life, Accidental Death, Dismemberment, Waivers, and Survivor Income Claims, using the automated claims system.
• Verify eligibility using source documents and review policy provisions.
• Initiate written and telephone inquiries to clients.
• Enter final claim benefit payment or denial determinations into the system.
• Perform other job-related duties as assigned.

Claims Specialist jobs in Maryland

Junior Life Claims Examiner