Claims Specialist I

<strong>We&rsquo;re motivated by the fact that educators take care of our children&rsquo;s future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future.</strong>

Springfield, IL

Horace Mann

<strong>We were founded in 1945 by two Springfield, Ill., teachers who saw a need for quality, affordable auto insurance for teachers. Horace Mann was originally called the Illinois Education Association Mutual Insurance Company, but the name was changed to honor the father of the American public education system, Horace Mann.</strong>

keywords: insurance,support,analysis,insurance,environment,claims,technology,insurance,degree,communication,travel


Overview: As a leading insurance and financial services company focused on meeting the evolving need of public K-12 teachers, we are growing rapidly and have a number of exciting positions available right now, including a&nbsp;<strong>Life Insurance Claims Specialist I</strong>&nbsp;located in&nbsp;<strong>Springfield, IL.</strong>
Responsibilities: <ul> <li>Support processing of claims for life insurance and retirement products.</li> <li>Verify policy information arid prepare file for examiner review for appropriate payment of life and retirement proceeds.</li> <li>Demonstrate and apply knowledge of industry requirements for payment of life insurance and retirement benefits, in accordance with SOP guidelines, state, IRS, FINRA, and SEC regulations, claim administration practices and policy/contract provisions.</li> <li>Consult with legal and tax business partners in a professional manner regarding claim issues.</li> <li>Execute Horace Mann Claims Promise Fulfillment process for agent benefit delivery.</li> <li>Knowledge of products, systems, and software including AIMS, VPAS, CK4, VIP Doc View, CSWD, Web</li> <li>Transactions, Page Center, Cyberscribe and Microsoft Office.</li> <li>Part of a flexible workgroup to maximize workflow efficiencies and ability to operate in a fast-paced, standards driven, customer-focused environment, while effectively utilizing telephony and claims administration systems.</li> <li>Support complex/advanced projects or tasks</li> <li>Strong claims knowledge and claims administration system functionality</li> <li>Ability to review, prepare and make recommendations for denial or payment of contestable claims, including preparation for chief underwriting and legal review</li> <li>Knowledge to conduct a preliminary review and provide recommendation for acceptance or denial of Life Waiver of Premium Claims or Ability to perform 1099 balancing process for death claims to Provide input and assist with updates to SOPs, team documents/resources</li> <li>Knowledge of multiple lines of business or all transactions in the unit Ability to assist management with quality and audit reviews Benefit approval authority for claim payments up to $100,000 Mentor, new employees</li> </ul>
Requirements: Requirements MINIMUM REQUIREMENTS: <ul> <li>Bachelor's degree or equivalent work experience;</li> <li>Insurance and financial services industry experience;</li> <li>Ability to communicate complex messages to sophisticated audiences in a diverse range of venues;</li> <li>Ability to travel up to 10%.</li> </ul>