DXC Technology

Life/Annuity Claim Examiner Analyst (Remote)

  • DXC Technology
  • Remote
  • 25 days ago

Job Description

Job Description:

Summary

Processes highly complex claims to ensure accurate and timely processing. Leads and oversees the work of others.

Essential Job Functions

  • Conducts correspondence related to client requests for information.
  • Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
  • Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.
  • Investigates highly complex claims and determines level of resolution if appropriate; advises claimant of status; negotiates settlement and resolution of claim.
  • Receives demand letters; researches and investigates claims, responds within individual parameters and escalates as appropriate.

Basic Qualifications

  • High school diploma or G.E.D.
  • Fellowship of Life Health Claims (FLHC) Certification preferred
  • Six or more years of insurance/claims processing experience
  • Experience working with insurance and/or medical terminology
  • Experience working with appropriate claims processing procedures and documentation

Other Qualifications

  • Strong analytical and problem solving skills
  • Strong interpersonal skills to interact with team members
  • Strong communication skills to communicate with clients
  • Strong negotiation skills to interact with claimant
  • Good human relations skills to provide leadership and work guidance to less experienced personnel
  • Ability to keep sensitive and confidential material private
  • Ability to work in a team environment

Work Environment

  • Office environment

If you are an applicant from the United States, Guam, or Puerto Rico

DXC Technology is an Equal Opportunity/Affirmative Action employer. All qualified candidates will receive consideration for employment without regard to disability, protected veteran status, race, color, religious creed, national origin, citizenship, marital status, sex, sexual orientation/gender identity, age or genetic information. DXC's commitment to diversity and inclusive selection practices includes ensuring qualified long-term unemployed job seekers receive equal consideration for employment. View postings below.

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