Benefits Specialist Trainee: Mentored Path to Growth

Unum Ireland; Portland (ME); On-site; USD 40,000 - 76,000; Full time

Job summary

Unum seeks an entry-level claims trainee to support complex claims adjudication in its Benefits Organization, with mentorship for 6-12 months to attain independent work. The role emphasizes learning to manage claims, analyze contracts, and provide timely decisions with strong customer service.

Initial responsibilities focus on developing knowledge of Unum products, policies, and procedures, while maintaining accuracy and professionalism in a fast-paced team environment in Portland, ME.

Qualifications

• College Degree preferred or equivalent work experience.
• Customer service / decision making experience and/or College experience.
• Ability to utilize claim investigative techniques to identify and evaluate claim information in a fair and objective manner.
• Detail oriented; able to analyze and research a variety of complex contractual information.
• Able to maintain a high level of confidence to make fair and appropriate decisions even in the face of disagreement.
• Demonstrated ability to operate with a sense of urgency and make balanced claim decisions with integrity.
• Strong mathematical aptitude and excellent customer service skills.

Responsibilities

• Develop skills to manage a caseload of complex claims; ensuring appropriate sign offs are obtained.
• Caseload size may vary by product(s).
• Develop an understanding of Unum products, policies/procedures and contracts.
• Develop understanding of applicable contract/policy definitions and provisions, waivers and regulatory requirements for claim products.
• Apply contract/policy knowledge to ensure eligibility, liability decisions and payee determinations.
• Produce objective, clear documentation and rationale for all claim determinations and communicate recommendations.

Skills

Customer service

Decision making

Analytical thinking

Multitasking

Communication skills

Education

College Degree or equivalent

Tools

Claim systems

PC skills

Job description

Unum seeks an entry-level claims trainee to support complex claims adjudication in its Benefits Organization, with mentorship for 6-12 months to attain independent work. The role emphasizes learning to manage claims, analyze contracts, and provide timely decisions with strong customer service.

Initial responsibilities focus on developing knowledge of Unum products, policies, and procedures, while maintaining accuracy and professionalism in a fast-paced team environment in Portland, ME.