GBS Accidental Death & Dismemberment Associate

Job Requisition ID:91358

Location Designation:Fully Remote

Group Benefit Solutions delivers comprehensive insurance and absence management solutions for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to New York Life's legacy of being there when we're needed most. Here, you'll design, implement, and support these solutions directly impacting employees' lives. At our core, we provide financial security and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions.

Internal Role Title: GBS Accidental Death & Dismemberment Associate

Role Title: Group Claims Associate

Reports to: Team Leader

Department: Accidental Death and Dismemberment

Job Description

Accidental Death & Dismemberment Group Claim Specialists partner with medical, legal and other expert resources to research, evaluate and process accidental death and dismemberment and business travel accident claims to determine the company's financial liability with assistance from Technical Specialists and Team Leader as necessary.

Responsibilities:

• Evaluates eligibility, benefit amounts and appropriate beneficiary status based on contract policies
• Interprets and evaluates accident policy, police, autopsy, toxicology, and forensic investigative reports and foreign documents as well as medical records and reports
• Reviews and interprets claim documents against the applicable contract provisions including exclusions, limitations, material misrepresentations and fraud
• Effectively interacts with Technical Specialist, Team Leader, medical and legal staff to determine accurate claim decisions within the confines of the policy and prevailing jurisdictional opinions
• Communicates clearly with policyholders and beneficiaries or claimants with understandable explanations to inquiries
• Provides exceptional and ethical performance according to published quality and compliance standards including Performance Guarantees and consistent with governing laws and regulations
• Demonstrates excellent knowledge of New York Life Group Benefit Solutions and Corporate Compliance, Policies and Procedures and best practices and continues to keep current with requirements and training.
• Demonstrates solid planning and organizational skills with the ability to address short and long term goals while prioritizing and addressing ongoing issues
• Proactively identifies customer needs and creates innovative solutions to exceed customer service expectations
• Ensures a consistent high performance work culture exists

Preferred Qualifications:

• BA/BS degree or equivalent work experience with focus in Health or Science field desired
• Forensic Science education and/or background highly desired
• Demonstrated ability to problem solve, utilize analysis, experience and judgment to make accurate decisions
• Clear and concise and timely professional communications using all mediums
• Experience in delivering exceptional customer service
• Team oriented focus with ability to perform at the highest level
• Ability to prioritize critical objectives focusing on high impact components
• Maintains professionalism and flexibility despite conflicting demands
• Executes decisiveness even when dealing with ambiguity
• Ability to learn process and product information and adapt quickly and effectively
• Integrity, objectivity and personal accountability for own decisions and honors both internal and external commitments
• Accepts challenges and demonstrates accountability for own developmental opportunities
• Proficient in Microsoft Office

Pay Transparency

Salary range:$45,000-$60,000

Overtime eligible:Nonexempt

Discretionary bonus eligible:Yes

Sales bonus eligible:No

Actual base salary will be determined based on several factors but not limited to individual's experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to base salary, employees may also be eligible to participate in an incentive program.

Actual base salary within that range will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location. In addition to base salary, employees may also be eligible to participate in an incentive program.

Our Benefits

We provide a full package of benefits for employees - and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and outside of work. Click here to discover more about our comprehensive benefit options or visit our NYL Benefits Site.

Our Diversity Promise

We believe in a diverse workforce because it is our mission to advocate for the financial security and success of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership.

Recognized as one of Fortune's World's Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by theFoundation.We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at New York Life, please visit the Careers page of www.NewYorkLife.com.

Job Requisition ID:91358