Sr. Claims Specialist II

Full Time
Florida
Posted
Job description

Job Summary: Job focus, purpose, scope of responsibility. Up to three of the most important responsibilities.


Completes complex administrative services for assumed claims and supports management as a technical expert so that department operations and deliverables are completed and objectives are met. Completes claims analysis, reporting and communicates conclusions and results so that the organization and key stakeholders are informed. Supports audits and projects as assigned so that Claims is compliant and deliverables are met.


Essential Functions:

Basic job duties that an employee must be able to perform, with or without reasonable accommodation.

Estimated Percentage of Time Dedicated to Responsibilities:


R
eporting: Completes claims data analysis and reporting to track claim production, staffing, reconciliations, claim trends and other claim related information so that correct and timely reporting is provided to all levels in the organization and other key stakeholders.

50%


Completes complex administrative tasks requiring technical expertise including: complex, non-routine client transactions and issues; system testing and data correction requests so that department production goals, operations and deliverables are met. Communicates status and concerns to the department head, managers and/or key stakeholders so that the appropriate actions can be taken.


30%


Audit and Project Support: Provides support to claims leadership for internal and external audits so that claims is compliant with audit requirements and deadlines. Participates in special projects, including cross-functional projects as a subject matter expert representing the Claims team, providing an understanding of the business processes.

15%


Supports claims management in the direction and administration of claims through the implementation of policies and procedures and making recommendations for processing efficiencies, best practices and solutions so that department objectives are met. Informs management of matters requiring escalation, team needs, and trends for guidance so that appropriate actions can be taken.


5%


Competencies:
Top five (5) most critical competencies for the position.


  • Communicates Effectively
  • Customer Focus
  • Optimizes Work Processes
  • Drives Results
  • Manages Complexity

Essential knowledge skills and abilities: Education, certifications, licensure, industry-specific experience, and experience working with certain equipment or systems, and skill proficiency levels that are required for job eligibility.


  • Minimum 3 years reinsurance, life insurance or other related field experience
  • College degree or equivalent business experience
  • Exceptional analytical and problem solving skills with ability to review and analyze data and report findings
  • Intermediate MS Office: Word, Excel, Outlook and Internet skills
  • Professional written and verbal communication and listening skills


Desired knowledge skills and abilities:
Education, certifications, licensure, industry-specific experience, experience working with certain equipment or systems, and skill proficiency levels that are desired but not required for job eligibility.


  • Exceptional customer service skills
  • Strong accounting skills
  • Strong organizational skills
  • Business analysis and/or training experience
  • Life Insurance claims experience preferred
  • Completion of LOMA or ICA or equivalent industry courses


Travel:
Percentage of travel time expected for the position, where the travel occurs, and whether the travel is overnight.


None


Total Compensation Range: $64,300 - $86,900 (inclusive of Base and Bonus).

Colorado Salary Statement: The salary range displayed is specifically for those potential hires who will work or reside in the state of Colorado if selected for the role. Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications.


Benefits Include:

  • Comprehensive medical, dental, and vision
  • Paid Time Off (PTO)
  • Company provided life insurance and disability benefits
  • 401(k) and profit sharing
  • Additional ancillary benefits available

Hannover Life Reassurance Company of America (Hannover Re) seeks to attract the best-qualified candidates who support the mission, vision and values of the company and those who respect and promote excellence through diversity. We are committed to providing equal employment opportunities (EEO) to all employees and applicants without regard to race, color, creed, religion, sex, age, national origin, citizenship, sexual orientation, gender identity and expression, physical or mental disability, marital, familial or parental status, genetic information, military status, veteran status or any other legally protected classification. The company complies with all applicable state and local laws governing nondiscrimination in employment and prohibits unlawful harassment based on any of the aforementioned protected classes at every location in which the company operates. This applies to all terms, conditions and privileges of employment including but not limited to: hiring, assessments, probation, placement, benefits, promotion, demotion, termination, layoff, recall, transfer, leave of absence, compensation, training and development, social and recreational programs, educational assistance and retirement.

We are committed to making our application process and workplace accessible for individuals with disabilities. Upon request, Hannover Re will reasonably accommodate applicants so they can participate in the application process unless doing so would create an undue hardship to Hannover Re, or a threat to these individuals, others in the workplace or the company as a whole. To request an accommodation, please email HRLUS-personnel@hannover-re.com. Please allow for 24 hours to process your request.

caravetterealestate.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caravetterealestate.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, caravetterealestate.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs