Sr. Insurance Associate

·       Analyze, validate and process transactions as per Desktop procedures (L3 & L4) 

·       Analyze and research all discrepancies. 

·       Research & Investigate and resolve outstanding items 

·       Determine eligibility and applicable plan provisions while meeting timeliness goals 

·       Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email 

·       Establish action plans for each file to bring claims to resolution 

·       Utilize internal and external specialty resources to maximize impact on each claim file 

·       Utilize Intellis and ACS (SIR) to update and maintain accurate data record 

·       Use PC programs to increase productivity and performance 

·       Ensure that the assigned targets are met in accordance with SLA and Internal standards 

·       Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence 

·       Work as a team member to meet office goals to obtain disability’s vision while demonstrating core values and

meeting key measures. 

·       Ensure adherence to established attendance schedules 

·       Close visual acuity - viewing a computer terminal and extensive reading