Posted 2 months ago
Claims Examiner Intermediate
AI Summary
Evaluates insurance claims against eligibility requirements, enters data into processing systems, conducts investigations, performs benefit calculations, and communicates with customers and internal teams.
About this role
In the Role
- Evaluate claims against eligibility requirements, provisions and applicable processes.
- Enter data into appropriate processing systems, including correspondence with internal and external customers.
- Research additional information to support claim processing.
- Perform benefit calculations.
- Conduct claim investigation.
- Occasional special projects.
- Participate in departmental meetings and training activities.
- Process incoming and outgoing mail.
- Other duties as assigned.
Requirements
- High School or GED Required
- 2+ year of general work experience, 6 months or more claims experience preferred
- Basic math skills, familiar with PC Environment
- Sound judgment, verbal and written communication skills
- Manage positive customer relationships
- Ability to evaluate claims against eligibility requirements
OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer. Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.
Skills
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