Group Claims Specialist - West Coast (Mst/Pst)

Alternate Locations: Work from Home; Bakersfield, CA (California); Boise, ID (Idaho); Denver, CO (Colorado); Glendale, CA (California); Greenwood Village, CO (Colorado); Irvine, CA (California); La Jolla, CA (California); Los Angeles, CA (California); Palm Desert, CA (California); Phoenix, AZ (Arizona); Portland, OR (Oregon); Provo-Orem, UT (Utah); Sacramento, CA (California); Salt Lake City, UT (Utah); San Diego, CA (California); San Francisco, CA (California); San Ramon, CA (California); Scottsdale, AZ (Arizona); Seattle, WA (Washington); Tucson, AZ (Arizona); US West; Walnut Creek, CA (California); Westlake Village, CA (California)
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 #: 73134
The Role at a Glance
We are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. We are specifically seeking candidates who reside in the mountain or pacific time zones to support our west coast employer groups.
Background details
As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. You will be responsible for administering and managing requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act (ADA) as well as some state leaves. You will be responsible for conducting initial and ongoing interviews with claimants, obtaining and reviewing medical records, and making timely and ethical claim determinations. Youll complete a thorough training to develop new skills and give you the confidence you need to be successful. If you enjoy working in a fast-paced, team-oriented environment from the comfort of your own home, please read on!
Learn more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group!
What you'll be doing
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.
Collaborating with fellow case managers, nurse case managers, and consulting physicians to make appropriate and timely claim determinations.
Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning.
Completing accurate financial calculations, where applicable, consistent with company and state guidelines.
Providing exceptional customer service and proactively recognizing customer and claimant needs and areas of opportunity.
Location: Must be located in the mountain or pacific time zone.
Training hours: 7:00 am to 3:30 pm PST
Regular hours: An 8-hour shift between the hours of 8:00 am to 6:00 pm PST
What were looking for
Must-have experience (required):
High School or GED
1-2 years of experience in customer service, leaves, or short-term disability
Strong written and verbal communication skills
Excellent organizational skills with the ability to multi-task
Nice to have experience (preferred):
Absence management experience
Whats it like to work here?
At Lincoln Financial Group, 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.
Whats in it for YOU:
A clearly defined career framework to help you successfully manage your career
Leadership development and virtual training opportunities
PTO/parental leave
Competitive 401K and employee benefits (https://hrdirectdocs.lfg.com/misc/HR/Recruiting/BenefitsResourcesGuide.pdf)
Free financial counseling, health coaching and employee assistance program
Tuition assistance program
A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
Effective productivity/technology tools and training
Pay Range: $21.86 - $29.58
Actual base pay could vary 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 Lincolns 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 Lincolns standard benefits package.
About The Company
Lincoln Financial Group helps people to plan, protect and retire with confidence. As of Dec. 31, 2022, approximately 16 million customers trust our guidance and solutions across four core businesses annuities, life insurance, group protection and retirement plan services. As of September 30, 2023, the company had $290 billion in end-of-period account balances, net of reinsurance. Headquartered in Radnor, Pa., Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. Learn more at LincolnFinancial.com.
Lincoln is committed to creating a diverse and inclusive (https://www.lfg.com/public/aboutus/companyoverview/diversityinclusion?audience_page_id=1422918942386) 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 (http://www.facebook.com/lincolnfinancialgroup) , Twitter (https://mobile.twitter.com/lincolnfingroup) , LinkedIn (https://www.linkedin.com/company/4307?trkInfo=tas%3Alincoln+financial%2Cidx%3A3-1-3&trk=tyah) , and Instagram (https://www.instagram.com/lincolnfingroup/) . Sign up for email alerts at http://newsroom.lfg.com
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 ****** if you encounter a recruiter or see a job opportunity that seems suspicious.
Additional Information
This position may be subject to Lincolns 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 Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.
Lincoln Financial Group (LFG) 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 (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. 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 260-455-2558.
This Employer Participates in E-Verify. See the E-Verify (https://www.e-verify.gov) notices.
Este Empleador Participa en E-Verify. Ver el E-Verify (https://www.e-verify.gov/es) avisos.
Lincoln Financial Group ("LFG") 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 (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.