Representative, Benefits Adjuster III

American Fidelity • Full-time • Remote (United States) • 3w ago

Remote USA

Evaluates, processes, manages and/or audits claims that require complex judgement and investigation such as , Cancer claims, Leave Absence Management Claims, Short Term Disability claims requiring claim management, Permanent and Total Disability claims or claims requiring Pre-Existing investigation, or life claims and claims on other life-related products and associated riders, and Stop Loss claims in accordance with Company policy terms, insurance laws, regulatory requirements, department standards and adjusting guidelines.
Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Meets standards established in department performance metrics for appropriate handling of Customer phone calls.
Acts as a direct contact and communicates with internal and external Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs.

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