Claims Examiner Intermediate

OneMain Financial; Fort Worth, Northern (TX, KY); On-site; USD 42,000 - 52,000; Full time

Job summary

OneMain Financial is seeking a Claims Processor in Fort Worth, TX to review claims, enter data, and communicate with customers and internal teams. The role includes researching information, performing benefit calculations, and conducting investigations.

The ideal candidate has high school education, strong math and PC skills, and excellent communication. This on-site position offers growth through training and team meetings.

Qualifications

• Evaluate claims against eligibility requirements and applicable processes.
• Enter data into processing systems and communicate with internal/external customers.
• Research information to support claim processing.
• Perform benefit calculations.
• Conduct claim investigations.
• Occasional special projects.
• Participate in departmental meetings and training activities.
• Process incoming and outgoing mail.
• Other duties as assigned.

Responsibilities

• Evaluate claims against eligibility requirements and applicable processes.
• Enter data into processing systems and communicate with internal/external customers.
• Research information to support claim processing.
• Perform benefit calculations.
• Conduct claim investigations.
• Occasional special projects.
• Participate in departmental meetings and training activities.
• Process incoming and outgoing mail.
• Other duties as assigned.

Skills

General work experience

Claims experience (6+ months)

Basic math

PC literacy

Communication skills

Judgement

Customer service

Claim evaluation

Education

High School or GED

Job description

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