Claims Specialist 2

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone.  We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.

Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition

Job Purpose: 

This position is an intermediate Claims role under minimal supervision responsible for detailed understanding of applicable state and insurance industry laws and regulations. The incumbent will process, investigate, negotiate and settle a variety of increasingly complex L&H inquiries and claims. Serves as technical lead, may coordinate work of others, and develop solutions to improve team performance. May require examinations / licensing.

Job Responsibilities: 

• Analyze claims to determine the need for additional investigation
• Deal / communicated directly with 3rd parties and customers in the investigation, negotiation and conclusion of claims in accordance with established procedures
• Evaluate / approve / pay claims up to pre-approved limit dependent on products serviced

The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time.

Job Requirements:

• Associate Degree or equivalent work experience. Bachelor’s degree preferred
• 2 + years of customer service experience, including demonstrated teleservice skills
• 2 + years of Claim processing experience (prefer: disability)
• Excellent oral and written communication skills
• Demonstrated excellent analytical and problem-solving skills and decision-making ability
• Demonstrated mathematical aptitude
• Demonstrated ability to interpret medical and insurance documentation
• Fluency in Spanish (verbal/written) preferred

If you’re ready to help make a difference, apply today.A resume is required to apply. TruStage may process applicant information using an Artificial Intelligence (AI) tool.This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward.Candidates may choose to opt out of this process.

Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status.

Base Salary Range:

At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan.  Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees.  We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when “life happens,” you can focus on what’s most important.

Accommodation request

TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.