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Communicates with internal/external customers via phone and e-mail about basic and complex death, waiver, accelerated benefit claim handling. Available as a resource for questions from less experienced staff. Handles all aspects of claim initialization, payments, payment approvals and administration system finalization, including tax reporting. Performs payment approval, payment quality control and claims reinsurance handling. Utilizes core competencies and skills to maximize customer experience.
Essential Job Functions
Analyze, clarify and resolve basic and complex death, waiver and accelerated benefit claim - related questions for life, annuity and variable policies, from internal and external customers. Available as a resource for questions from less experienced staff. Review problems and communicate with appropriate personnel to obtain information when necessary. Responds to customer inquiries through appropriate mediums. Terminates policies or activates benefits on administration system as required. Verifies production changes by utilizing the administration system and on-line reports. Processes payments and approvals for death, waiver and accelerated benefit claims, including verification of amount due, check requisition, suspense account review and tax reporting if required Verifies LifeNet new claim report daily, performs alpha searches, sends email notification to field representatives for new claims, scans new claim files to FileNet Audits, reconciles, and corrects suspense account and general ledger entries and referrals. Assembles, sends and monitors requests to other departments. Monitors department voicemails and emails; provides reply within 24 hours. Inputs workload data to spreadsheets, or other established reporting system daily. Maintains and monitors FileNet production queue. As assigned, monitor, update, and reconcile actuarial reinsurance spreadsheets and reports.
High school diploma or equivalent required.
Minimum one year of Life Claims experience, including one year as a Life Claims Service Advocate I.
Special Skill Requirement
Exceptional customer service skills over the phone and via email Basic desk-top Personal Computing and keyboarding skills required Basic math skills required Excellent conflict resolution skills and has ability to work collaboratively with others Excellent communication skills, both written and verbal
Farmers is an equal opportunity employer, committed to the strength of a diverse workforce. ]]>
Job Posting: 06/28/2019