Claims Completion Associate
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The Claims Completion Associate role will support a large Group Insurance Business contract. This role will provide exemplary customer service by processing STD/LTD disability claims in a timely and accurate fashion. This associate will be able to independently assess, analyze and render the appropriate claims decisions on STD/LTD claims as directed by the client’s standards. Able to communicate with a variety of constituents with limited guidance and able to learn and transact using the client’s systems. Expected to communicate clearly and concisely to influence return to work, discuss terms of the certificate, and the basis of payment/ non-payment. Works effectively with the team to accomplish goals, takes actions that respects the needs of others and those of the organization.
Responsible for the attempts to obtain missing information on Short Term and Long Term Disability claims to include outreach to physicians, claimants and employers via email, fax or phone for missing information
Able to assess, analyze and render appropriate claims decisions utilizing client’s documented process
Able to understand and maintain service levels when outreaching for missing information
May articulate and document their rationale for claim direction
Provide exceptional customer service either over the phone or through email
Provide clear documentation of activities performed
Utilize tools independently and accurately to identify work to be completed
Must be able to work the hours of 7am to 4pm Central Time
Overtime may be required
Minimum 1-year Group Insurance claims processing experience in a customer service environment
Experience in Group Insurance claims processing to include STD and LTD
Strong MS applications experience
Strong written and verbal communication skills
As required by the Colorado Equal Pay Transparency Act, Accenture provides a reasonable range of minimum compensation for roles that may be hired in Colorado. Actual compensation is influenced by a wide array of factors including but not limited to skill set, level of experience, and specific office location. For the state of Colorado only, the range of starting pay for this role is $34,000 - $38,199 and information on benefits offered is here.
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