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1891 Financial Life


SUMMARYThe Claims Analyst acts independently and autonomously managing claims by conducting thorough reviews and investigations. Has the knowledge and ability to determine what additional resources and steps are necessary and appropriate in making a claim determination. This role will assist our field force, members' beneficiaries, or their representatives in submitting the necessary information for life insurance claims. Responsible for handling all claims from initial claim notification or assignment to closure. Also assists with various Customer Service administrative functions. Interprets contract language to process claims accordingly. Provides high quality service to internal and external customers. Knowledgeable and consistent with regulatory and compliance requirements.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: - Investigate claim files to determine steps needed to complete the settlement of claims- Communicate with field force and members' beneficiaries to request information needed to make a claim decision- Respond to initial notification of death claim and mail appropriate forms- Analyze information received to make an independent claim decision- Organize information to proactively keep all parties informed of claim status, next steps, and claim decision- Manage pending case load in a timely manner managing individual productivity and service levels- Analyze and determine claims payment in an accurate and timely manner- Maintain excellent working relationships with members' beneficiaries, field force, attorneys, management, and internal staff- Maintain working knowledge of 1891's products, riders, and settlement options- Carries out duties in compliance with all state and federal regulations and guidelines- Comply with all company policies and procedures- Perform responsibilities in a consistent, professional manner while exercising strong verbal, interpersonal and customer service skills.- Perform any additional duties that may be assigned.QualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. - Strong analytical, critical thinking, problem solving and independent decision-making skills- Excellent communication skills- Demonstrated interpersonal and customer service skills- Must be compassionate and empathetic- Familiarity with medical terminology is a plus- Passionate drive to be empathetic with beneficiaries and offer solutions to deliver on their expectations- Be a team player to cooperate with internal staff on special projects- Demonstrated organizational skills and clear communication. - Must have exceptional time management skills.- Must have knowledge of Microsoft Office 365 - Ability to work independently. - English/Spanish Bi-Lingual a plus but not required.- Demonstrated administrative skills including data entry and filing.Education and/or Experience:- Bachelor's Degree or equivalent work experience preferred- Minimum of 2 years in the financial services industry - Salesforce or other CRM system experience- Life Producer Insurance License preferred or working towards licensing- Other financial services or life insurance professional designations a plusCommunication Skills:Ability to read and analyze certificates and policy documents. Ability to respond to common inquiries or complaints from members. Mathematical Skills:Ability to calculate simple math figures and amounts such as discounts, interest, and percentages.Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Computer Skills: To perform this job successfully, an individual should have knowledge of Word Processing and Spreadsheet software such as Word and Excel. CRM system a plus.Location: Schaumburg, IL

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