Claims Associate responsible for managing workers compensation claims within company standards. Providing client support and documenting claims accurately while ensuring efficient processing in the Plano office.
About the role
- Claims Examiner handling customer benefit payments and ensuring compliance at Securian Financial. Processing claims efficiently while maintaining high standards of customer service and communication.
Responsibilities
- Serves department dedicated to issuing timely, accurate benefit payments to customers and channel partners.
- Tasks include payment processing, data entry, records management, fraud prevention, and loss or eligibility investigations.
- Provides effective, customer-centric, and compliant communication to internal and external resources, clients, and partners.
- Adjudicates payments in compliance with regulatory requirements and applicable law, engaging legal, medical, and investigative resources as necessary.
- Maintains accurate and complete payment record to improve the customer experience, quality review/audit process, and protect our company in the event of litigation and regulatory investigations.
- Makes critical risk assessments on behalf of Securian Financial and its clients.
- May manage or serve as subject matter expert for special projects.
- Ensures payment practices are efficient and in keeping with our organization's values and the highest ethical standards.
Requirements
- Strong analytical skills and attention to detail
- Good judgment/decision-making skills and organizational skills
- Strong written and verbal communication skills
- Willingness to maintain a positive and compassionate attitude in a high volume setting
- Ability to work independently within a team environment
- Desire to provide world-class customer service
- Experience on claims processing systems
- Financial institution background
- Demonstrated proficiency with Microsoft Word and Outlook
- Telephone customer service experience
Benefits
- Paid time off: We want you to take time off for what matters most to you. Our PTO program provides flexibility for associates to take meaningful time away from work to relax, recharge and spend time doing what’s important to them. And Securian Financial rewards associates for their service by providing additional PTO the longer you stay at Securian.
- Leave programs: Securian’s flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave.
- Holidays: Securian provides nine company paid holidays.
- Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian’s 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service.
- Health insurance: From the first day of employment, associates and their eligible family members – including spouses, domestic partners and children – are eligible for medical, dental and vision coverage.
- Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you.
- Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including: Mental Wellness and Disability Pride at Securian Financial Securian Young Professionals Network Securian Multicultural Network Securian Women and Allies Network Servicemember Associate Resource Group
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Claims Examiner analyzing workers' compensation claims for clients, ensuring benefits are adjudicated within service expectations and industry best practices. Requires significant claims management experience and knowledge of California regulations.
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