Senior Associate - Claims Analyst (8166BR) Sleepy Hollow, New York
Analyze and evaluate Disability Claims. Conduct claim investigations which include directed contact with individuals, doctors, attorneys, agents, outside agencies and Third Party Administrators. Recommend payment approval or claim denial within given authority level. advise claimants or their representatives verbally and/or in writing of the policy/plan provisions, necessary documentation and claim status. Process claim payments Keep Third Party Administrators aware of claim status Work with appropriate internal and outside experts to effectively manage Disability Income and Office Overhead claims. May work with Third Party Administrators on handling disability claims and review their claim handling for accurate and effective claim management.
5 years related work experience Comprehensice knowledge of Disability income Claims evaluation procedures, related policy and legal principles, underwriting rules and procedures Excellent written and oral communication skills Strong computer skills Ability to work independently
Medical terminology, insurance course, ie, LOMA, HIAA College degree preferred