Int'l Claim Assoc. 1155 Fifteenth Street N.W., Suite 500, Washington DC 20005
Members Only Annual Meeting
 


Job Bank

There are currently 3 job postings in the Job Bank.

Interested in posting a job to the ICA Job Bank?  As part of your ICA Membership all posts to the job bank are free and will remain on the site for 60 days! 

If you're not a member of ICA there is a $250 charge to post to the website for 60 days. 

Interested in becoming a member? View our member benefits and fill out an application for membership here.

Please forward posts to LaShawn Maloy at lmaloy@claim.org.


POST 1

 Company: MetLife

 Location: Bloomfield, CT

 Job Title: MetLife LTD Claims Specialist- JO# 83746

  

 Job Summary:

  • Provides exemplary customer service by processing a case load of 90 – 100 group disability claims in a timely and accurate manner. 

 Functional Responsibilities:

  • Independently assess, analyze and render appropriate claim decisions pursuant to certificates.  Clarify functional capacity through independent problem solving measures and discretion (gathering medical, vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability. Adhere to federal and state law to maintain appropriate and timely claim outcomes. Communicate clearly and concisely to influence return to work, discuss terms of the certificate, and the basis for payment/non-payment.  Communicate with a variety of constituents (for example, claimants, doctors, nurses, employers, and attorneys) to gather information relevant to assessing, analyzing and rendering decisions based on the provisions of the policy and their own discretion, with limited guidance by supervisory personnel.  Articulate and document their rationale for claim direction, possess the autonomy to take steps outside of CMG guidelines to the extent supported by documented rationale and the facts of the claim file.  Utilize tools independently and accurately to identify work to be completed across the entire claim block, prioritize work, determine if/when to involve specialty resources such as clinical staff to obtain additional information on a claim.  As the sole owner of the LTD claim, determine return to work potential and strategy, identify a likely claim progression based on the facts of the claim and take action on their own assessment of the claim. 

  • Perform other duties as required. 

 Supervisory Responsibilities: 

  • None.  May guide and mentor lower level team members

 Job Requirements/Qualifications:

  • High school diploma or GED.

  • 3+ years of long term disability claims experience. 

 Key Competencies, Qualifications and Skills, Preferred:

  • Bachelor’s degree preferred.Strong communication skills, both written and oral.  Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning. Strong problem solving and analytical skills. Ability to work independently. Comfortable working with multiple priorities in a changing environment. 

  • Ability to prioritize and maintain quality.

 Contact Information:

 Julie Maclin, Recruiter for MetLife

 jmaclin@metlife.com

 (866) 815-5852

 Application Linkhttp://jobs.metlife.com/hartford/insurance-claims/jobid7013026-ltd-claims-specialist-jobs

 

_______________________________________________________________________________________________

POST 2

Company: Boston Mutual Life Insurance Company

 Location: Canton, MA

 Job Title: Senior Claims Examiner

Company Overview:

Boston Mutual Life Insurance Company was founded in 1891 and has been a stable financially strong company for over 120 years. Boston Mutual is proud to promote our corporate principles of Service, Value, and Integrity. As well as being a financially strong and reputable company to do business with, Boston Mutual offers its employees a wide array of competitive benefits to full time employees. These include Health, Dental, Life and Long Term Disability Insurance, generous paid vacation time, free parking, paid holidays, 401K program, Flex Spending, tuition reimbursement, and an employee assistance program as well as offering flexible work schedules.

Position Overview:

This position is an important role geared towards a self motivated professional. We seek a high energy, detail oriented individual who is willing to take on various tasks. A self-starter who is able to work independently will thrive in this role.

General Duties:

  • Review and Process life claims and request additional information when needed.

  • Answer telephone inquiries concerning claim status, claim filing etc.

  • Read and evaluate policy/contract provisions

  • Review pending claims on a monthly basis

  • Be aware of compliance issues

  • Read medical records

  • Perform other duties as required

Qualifications:

  • Minimum of 2 years college or related experience

  • 2 years of life claims experience required

  • Strong PC skills- Excel, Access, Word, Internet

  • Strong analytical skills

  • Manage a variety and high volume of work

  • Must have strong organizational skills and be detail oriented

  • Knowledge of ALIS system a plus

  • Must have ability to make sound decisions

  • Insurance knowledge preferred; LOMA courses helpful

  • Medical Terminology a plus

  • Ability to work well with co-workers

  • Excellent attendance is required

  • Compliance with privacy guidelines; respecting the privacy of customer information

  • High level of communications skills, oral and written

To apply for this position, please send your resume to Kathy Welch at Kathy_Welch@bostonmutual.com

_______________________________________________________________________________________________

POST 3

Company: Federated Insurance

Location: Owatonna, MN

Job Title: Life & Disability Income Claims Specialist

Federated Insurance is looking for a Life and Disability Income Claims Specialist who will process life and disability income claims by investigating, evaluating, negotiating, and resolving the claims promptly and equitably.    

We are seeking an individual who is self-directed and demonstrates strong analytical abilities and attention to detail, excellent written and verbal communications, ability to multi-task and prioritize, effectively handles conflict resolution and makes sound decisions.

Primary Responsibilities:

  • Asses validity of coverage

  • Conducts thorough investigations of the claim and evaluates findings

  • Establishes and retains services of external attorneys, investigators, medical directors, vendors when necessary to secure all relevant facts for proper evaluation of claims

  • Negotiates payments directly with the insured and/or their legal counsel

This position requires:

  • A four-year college degree or equivalent experience (i.e. Insurance Claims handling, Life and DI product knowledge, and/or medical knowledge and terminology)

  • Strong computer knowledge, proficient in Microsoft Word and Outlook

  • An unquestionable ability to retain confidential business and personnel information

For consideration, please send your confidential resume and salary history to hrrecruit@fedins.com.

 

 

All postings will remain for 60 days unless otherwise noted




Home | Membership Info | Who's Who | Committees | Member Companies | Education Program | Publications | Regional Meetings | Job Bank | Claims Resources | Industry Links


© International Claim Association
1155 15th Street, NW • Suite 500 • Washington, DC  20005
Phone: (202) 452-0143 • Fax: (202) 530-0659 • E-mail: dchuba@claim.org

 

 

 

 

 

 


Home: www.claim.org
Membership Info.
Who's Who
Committees
Member Companies
Education Program
Publications
Regional Meetings
Job Bank
Claims Resources
Industry Links