A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.
Case Specialist 3.3 3.3 out of 5 stars 445 State Street, Fremont, MI 49412 From $40,000 a year - Full-time Gerber Life Insurance 146 reviews From $40,000 a year - Full-time Join Gerber Life Insurance Company — Somewhere You Want to Be Gerber Life Insurance Company, a member company of Western & Southern Financial Group (Western & Southern), is committed to helping families protect what matters most. With career opportunities in Fremont, MI, and White Plains, NY, and select roles in Cincinnati, OH, Gerber Life Insurance Company offers associates the opportunity to contribute to meaningful work while building rewarding careers.
What You'll Do:
A Day in the Life of a Case Specialist Processes and reviews underwriting requirements by conducting customer interviews to gather non-medical and medical information. Works with some supervision but is empowered to approve applications and other decisions within the limits of authority level, and coordinates workflow of cases outside authority limits with Senior Case Specialist. Completes appropriate amendments and thoroughly reviews and validates output to ensure accuracy. Ensures compliance rules regarding all requirements and procedures are completed. Research inquiries and provide prompt and accurate service to internal and external customers. Supports the overall goals of the department by meeting or exceeding department time service, production goals, quality standards and underwriting requirements. Process contract and application changes and requests and approves and issues life and health insurance policies in a timely manner compliant with state and federal guidelines. Provide direction to internal and external customers on what and forms that are needed to complete the application process through accurate and professional verbal communication. Conduct client interviews to obtain the most accurate answers to medical, social, avocation and other required information to aide in the completion of the underwriting process. Analyze and prepare cases for the New Business Specialists, Underwriting Assistants, Underwriters or Senior Underwriters to review. Develop and maintain confidentiality of information, including sensitive medical information and complies with federal and state rules and regulations (i.e., MIB, Fair Credit Reporting Act, Replacements, etc.). Utilize document management systems to organize, manage and transmit documents. Verify and process outstanding case requirements and process requests for additional information. Analyze and review for completeness and accuracy, codes the appropriate system to issue and approve the case within an established time service and quality guidelines. Investigate and gather information as needed for additional medical conditions based on clients' responses. Back-up for Senior Case Specialist to oversee day to day case management and reporting or perform other duties as assigned by management. Performs other duties as assigned. Complies with all policies and standards.
Your Qualifications, Skills and Experience:
Successful candidates are curious, dependable, and motivated to grow
Required:
High School Diploma Life and Health Insurance License in home state Obtain and maintain within 90 Days (Study Materials and Exam cost covered by Gerber Life Insurance)
Preferred:
Associate's Degree Medical field. Demonstrated proficient attention to detail with excellent organizational skills. Cite examples of organization and time management methods used to manage or prioritize workload demands. Demonstrated ability to make sound decisions during client interviews on which medical conditions or medications need further details, additional amendments or documentation that may not have been originally disclosed. Demonstrated experience working independently under little direction from management. Experience must include the ability to apply knowledge to future decisions (progressive decision making). Demonstrated excellent verbal and written communication skills with the ability to successfully interpret and communicate business needs to internal and external customers in a clear, focused, and concise manner. Must provide examples of maintaining a high degree of accuracy associated with high volumes of work and or multiple duties. Demonstrated experience effectively collaborating with customers. - Preferred Must provide examples from work experience demonstrating flexibility to meet department and customer needs. Demonstrated experience working independently under little direction from management. Experience must include identifying and resolving problems where independent decision making, and self-initiative were demonstrated. 2 plus years relevant work experience in a life insurance or medical setting. Proven PC Skills and the ability to make repetitive motions of the wrists, hands and/or fingers. Working knowledge of word processing and spreadsheet applications. Working knowledge of email system.
401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Parental leave Referral program Retirement plan Tuition reimbursement Vision insurance
Education:
High school or equivalent (Required)
Experience:
Call center: 1 year (Preferred) Customer service: 1 year (Preferred)
License/Certification:
Life, Accident and Health Insurance license (Preferred)
