Claims Administrator I

GBU Life; Pittsburgh (Allegheny County); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Company paid HRA

401(k) + match

Pension Plan

LongTerm & ShortTerm Disability

Life Insurance & AD&D

PTO and VTO

Job summary

GBU Life in Pittsburgh is seeking a dedicated customer service representative. The role includes reviewing and processing insurance claims, assisting customers with inquiries, and maintaining effective communication with policyholders.

Successful candidates will demonstrate strong organizational skills, attention to detail, and a commitment to customer satisfaction. Benefits include medical, dental, a 401(k) plan, and paid time off.

Qualifications

• Minimum two years of customer service experience or equivalent preferred.
• Claims experience preferred.
• Ability to manage priorities and workflow.

Responsibilities

• Review and verify insurance claims for accuracy.
• Investigate claims to determine validity for payment.
• Communicate with stakeholders to resolve issues.

Skills

Customer service

Claims analysis

Verbal communication

Written communication

Attention to detail

Organizational skills

Job description

Job Summary

Provides customers with courteous customer service in person or over the phone; strives to retain present customers to serve customers’ needs. Research and processes death claims and assists with intake process.

Duties and Responsibilities

• Reviewing and verifying insurance claims to ensure that they are complete and accurate.
• Investigating and analyzing claims to determine their validity and eligibility for payment.
• Communicating with policyholders, beneficiaries, and other stakeholders to gather information and resolve issues.
• Resolves mostly routine and some nonroutine, more complex problems and communicates solutions or requested information to the customer including, but not limited to, account balances and histories.
• Gains or has attained full proficiency in a specific area of discipline.
• Performs maintenance on accounts per customer request.
• Provides timely resolution of customer/producer complaints, concerns, and inquiries.
• Builds effective relationships and trust with producers, customers, and potential customers.
• Maintains knowledge of changes to the business environment.
• Proactively gathers and updates customer information during interactions.
• May assist with policy changes, claims, and other administrative responsibilities.
• Understand the full array of the department’s responsibilities to provide backup, when necessary.
• Supports marketing campaigns and product launches.
• Processes customer transactions including but not limited to inflows or outflows of cash or cash equivalents; ensures all necessary information is in place prior to completing transaction; sends appropriate correspondence.
• Distributes all incoming correspondence, when necessary.
• Properly adheres to company risk management principles.
• Adhering and supporting GBU’s Enterprise Risk Management Framework.
• Understanding and complying with applicable laws, regulations, policies and procedures; completing all required training; executing and monitoring controls effectively; appropriately identifying, assessing, escalating and remediating risks, potential issues and control failures; and reporting compliance or regulatory concerns to management.
• Understanding and conducting oneself in accordance with the Employee Handbook and preserving GBU’s brand and reputation.
• Performs other related duties as assigned by management.

Qualifications

• Claims experience preferred.
• Minimum two (2) years of customer service experience or equivalent preferred.
• Excellent customer service skills.
• Excellent verbal and written communication skills.
• Commitment to excellence and high standards.
• Strong organizational skills; able to manage priorities and workflow.
• Ability to work independently and as a member of various teams.
• Ability to understand and follow written and verbal instructions.
• Ability to perform diversified clerical functions and basic accounting procedures.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Attention to detail.
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.

Our Benefits

• Medical, Dental Vision
• Company paid HRA
• 401(k) + match
• Pension Plan
• LongTerm & ShortTerm Disability
• Life Insurance & AD&D
• PTO and VTO (Volunteer Time Off)