Claims Examiner II, PDMU 1
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AI Summary
Alternate Locations: Charlotte, NC (North Carolina); Omaha, NE (Nebraska); Work from Home
Work Arrangement:
Remote : Work at home employee residing outside of a commutable distance to an office location.
Relocation assistance: is not available for this opportunity.
Requisition #: 76383
The Role at a Glance
We are excited to bring on a Claims Examiner II to our Permanent Disability Management Unit to work with our Omaha based office.The Permanent Disability Management Unit (PDMU) continues to evolve over the years and has become an integral part of the Long Term Disability claim process. Claims transitioning from initial Long Term Disability phase and deemed to have severe or progressive diagnoses are then transferred to the PDMU Team for ongoing evaluation and review.
As a Claim Examiner II of the PDMU Team, you will continue management of these approved Long Term Disability claims. Everything from ensuring the correct benefits are issued timely to updating medical conditions and so much more. You will be working with a veteran team of experienced claim examiners who all pitch in and contribute to our team's success. What you do here is important to the claimants we serve and vital to Lincoln Financial Group. Whether you are an experienced claim examiner or looking to advance your career the PDMU Team may be the perfect next step for you.
What you'll be doing
- You will provide customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs on routine work independently.
- You will recognize issues or concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.
- You will support and promote change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
- You will review increasingly complex submitted claim information for payment. Ensures the accuracy and completeness of submitted claims. Escalates claims issues/concerns to senior team members and/or management.
- You will process increasingly complex partial disability claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards. Also, reviews and provides specific information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) by applying expended knowledge.
- You will deliver routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately. Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines.
What we’re looking for
Must-haves:
- 2 - 3 Years of claims experience that directly aligns with the specific responsibilities for this position
- High School or GED (Minimum Required)
- Ability to interpret and apply common sense understanding to carry out a variety of instructions furnished in written, oral, or diagram form.
- Works with mathematical concepts such as addition, subtraction, multiplication, division, averages and/or variances.
- Ability to work with others in a team environment.
Nice-to-haves:
- Experience with DocsNet claim system
- Demonstrates excellent written and verbal communication skills.
- Ability to read, analyze and interpret internal documents such as policies and standard operating procedures.
- Ability to perform under stress in cases of emergency, critical or hazardous situations.
- Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
Application Deadline
What’s it like to work here?
At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.
What’s in it for you:
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Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
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Leadership development and virtual training opportunities
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PTO/parental leave
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Free financial counseling, health coaching and employee assistance program
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Tuition assistance program
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Work arrangements that work for you
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Effective productivity/technology tools and training
The pay range for this position is $23.13 - $31.93 with anticipated pay for new hires between the minimum and midpoint of the range and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package.
About The Company
Lincoln Financial (NYSE: LNC) helps people to confidently plan for their version of a successful future. We focus on identifying a clear path to financial security, with products including annuities, life insurance, group protection, and retirement plan services.
With our 120-year track record of expertise and integrity, millions of customers trust our solutions and service to help put their goals in reach.
Lincoln Financial Distributors, a broker-dealer, is the wholesale distribution organization of Lincoln Financial. Lincoln Financial is the marketing name for Lincoln Financial Corporation and its affiliates including The Lincoln National Life Insurance Company, Fort Wayne, IN, and Lincoln Life & Annuity Company of New York, Syracuse, NY. Lincoln Financial affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not provide tax, accounting or legal advice.
Lincoln is committed to creating an inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Follow us on Facebook, X, LinkedIn, Instagram, and YouTube. For the latest company news, visit our newsroom.
Be Aware of Fraudulent Recruiting Activities
If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.
Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.
Additional Information
This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial are considered property of Lincoln Financial and are not subject to payment of agency fees.
Lincoln Financial ("Lincoln" or "the Company") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex, age, national origin or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling (866) 922-6543.
This Employer Participates in E-Verify. See the E-Verify notices.
Este Empleador Participa en E-Verify. Ver el E-Verify avisos.
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