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Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of final expense claims for reimbursement through knowledge of life claims processes and effective communication skills.
Job Responsibility:
Performs claim documentation review
Verifies policy coverage
Assesses claim validity
Communicates with funeral homes, beneficiaries and family members
Ensures accurate and timely claims processing
Handles and processes final expense claims submitted by beneficiaries
Determines the eligibility and coverage of benefits for each claim
Documents claim information in the company system
Conducts reviews and investigations of claims
Communicates with stakeholders to resolve discrepancies or issues
Determines if claims processing activities comply with regulatory requirements
Develops and implements regular, timely feedback
Analyzes claims data and generate reports
Conducts outbound calls on an as needed basis
Requirements:
Must report into Franklin, TN office Tuesday- Thursday
Experience in a high production environment
Experience with Microsoft Office (specifically Excel)
Ability to review and triage documents to the correct location
Ability to multi-task, prioritize, & handle multiple workloads/assignments
Ability to collaborate with team members to resolve any issues
HS Diploma
Nice to have:
1-2 years Experience in a final expense claims processing environment
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