Remote Senior FACT Specialist, Financial Claims

New York Life Insurance Co.; New York (NY); Remote; USD 59.000 - 82.000; Vollzeit

Benefits dieser Stelle

Leave programs

Adoption assistance

Student loan repayment

Zusammenfassung

New York Life Insurance Co. is seeking a FACT Sr. Specialist to ensure accurate financial processing within the claims lifecycle.

You will evaluate routine transactions, coordinate with claimants and vendors, and document decisions for policy compliance. This fully remote role requires keen attention to detail and proactive communication to meet deadlines in a fast-paced environment. Prior disability claims or financial processing experience is preferred, with strong teamwork and discretion.

Qualifikationen

• Associate degree or above preferred.
• 2+ years of experience in disability claims, insurance operations, or financial processing.
• Understanding of basic financial concepts including benefit calculations, overpayments, and offsets.
• Strong attention to detail and accuracy.
• Strong communication skills (written and verbal), with a customer-centric approach.
• Strong focus on continuous improvement.
• Ability to manage sensitive or confidential information with professionalism and discretion.
• Experience with financial or claims systems (e.g., policy administration, workflow tools) a plus.

Aufgaben

• Ownership of accuracy in financial coding and calculations for routine claim transactions.
• SSD I awards and any resulting overpayments.
• Non-complex Basic Monthly earnings calculation.
• Non-complex Return to Work earnings calculations.
• Routine offset coding.
• Overpayment recoveries.
• Engage directly with claimants to initiate repayment discussions and establish repayment plans.
• Coordinate with third-party vendors to review calculations and manage financial recovery.

Kenntnisse

Attention to detail

Communication

Customer service

Time management

Discretion

Collaboration

AI tools familiarity

Accounting/bookkeeping

Ausbildung

Associate degree

Tools

Microsoft Office

Policy administration systems

Workflow tools

Jobbeschreibung

New York Life Insurance Co. is seeking a FACT Sr. Specialist to ensure accurate financial processing within the claims lifecycle.

You will evaluate routine transactions, coordinate with claimants and vendors, and document decisions for policy compliance. This fully remote role requires keen attention to detail and proactive communication to meet deadlines in a fast-paced environment. Prior disability claims or financial processing experience is preferred, with strong teamwork and discretion.