Senior Benefits Claims Specialist — Complex Claims Expert

Unum Ireland; Chattanooga (TN); Presencial; USD 46 000 - 86 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Vision insurance

Dental insurance

Short & Long-Term Disability

Paid time off

401(k)

Resumo da oferta

Unum in Chattanooga, TN, seeks a Lead Benefits Specialist to manage high-indemnity, complex claims and large corporate accounts. You will apply advanced claim skills, contract interpretation, and system knowledge to deliver timely, accurate decisions while mentoring others.

This role emphasizes independent caseload management, plan analysis, and collaboration with internal partners to ensure service quality.

Qualificações

• Excellent customer service skills.
• Strong communication, verbal and written.
• Advanced analytical and problem-solving abilities.
• Solid knowledge of policies, contracts and medical terminology.

Responsabilidades

• Independently manage a full caseload of complex claims and larger accounts.
• Build action plans, analyze outcomes and render determinations per quality guidelines.
• Evaluate information in claim files to determine appropriate action and adjudication.
• Provide timely referrals and complex claim validation.
• Mentor less experienced staff and share expertise as needed.

Conhecimentos

Customer service

Communication

Analytical thinking

Negotiation

Medical terminology

Coaching & mentoring

Policy knowledge

Descrição da oferta de emprego

Unum in Chattanooga, TN, seeks a Lead Benefits Specialist to manage high-indemnity, complex claims and large corporate accounts. You will apply advanced claim skills, contract interpretation, and system knowledge to deliver timely, accurate decisions while mentoring others.

This role emphasizes independent caseload management, plan analysis, and collaboration with internal partners to ensure service quality.