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Lincoln Financial

Insurance, retirement, and financial services provider

Supplemental Health Appeals Associate

Claims AdjudicationPosted on Nov 13
Full-time

About the Job

Requirements

  • At least 2 years of experience in Supplemental Health claims involving Accident, Critical Illness, or Hospital Indemnity.
  • Strong written and verbal communication skills.
  • Strong organizational skills and the ability to multitask.

Responsibilities

  • Communicate with claimants and employers as needed to ensure complete submission of information for appeal review.
  • Use knowledge of coverage, certificate provisions, eligibility, benefits, and appropriate resources, including internal teams, practices, procedures, and clinical resources, in appeal reviews.
  • Apply knowledge of Supplemental Health and voluntary insurance products, claims processes, and certificates to render appeal decisions.
  • Identify, interpret, and resolve gaps in financial calculations when applicable, and share technical knowledge and approaches to financial calculations with claims teams.
  • Ensure appeals processing is consistent with applicable policies, procedures, and department guidelines.
  • Research questions and escalations as needed for complete appeal reviews, and liaise with stakeholders across the business, including Enrollments, Legal, Compliance, and Account Management, to obtain information and clarify and address issues.

Desired Qualifications

  • A four-year or bachelor's degree is strongly preferred.

About the Company

Lincoln Financial

Insurance, retirement, and financial services provider

Lincoln Financial Group offers life insurance, annuities, and retirement income products through its network of affiliated companies, and also provides securities and investment advisory services via affiliated broker-dealers. Its products combine insurance coverage or retirement-focused contracts with investment options, where customers fund premiums, choose subaccounts or riders, and receive benefits such as death benefits, living benefits, or guaranteed income in retirement. The company differentiates itself with a family of affiliated brands and distributors that coordinate life, annuity, and advisory products under one umbrella. Its goal is to help individuals and families protect loved ones, plan for retirement, and achieve financial security through integrated protection and investment solutions.

Company size
Not listed
Company stage
Not listed
Total funding
$128.8M
Headquarters
Radnor Township, Pennsylvania
Founded
1905

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