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CNO Financial Group Claims Adjuster I in Carmel, Indiana

This position is responsible for providing claim service in a manner that promotes integrity and customer satisfaction. Responsible for evaluation, adjudication and processing in a timely, cost effective manner that is compliant with state regulations and company policies. Responsible for identifying opportunities for process improvements and implementing changes once identified.

Primary Duties & Responsibilities:

  • Reviews policy provisions and medical facts, along with any other documentation as needed, to make an appropriate claim decision in accordance with statutory and company requirements.

  • Calculates payment of benefits due and processes claims in the appropriate admin system.

  • Communicates with beneficiaries, policyholders and/or agents to request additional documentation, or to advise them of procedures necessary to complete claim adjudication and to communicate claim decisions.

  • Documents claim file of all actions taken.

  • Makes recommendations for process improvements.

  • Consults with other areas of the company as the work demands (i.e. Underwriting, SIU, PHS, Legal, etc.).

  • Performs all other duties as assigned.

Core Skills and Knowledge:

  • Ability to provide prompt and high quality customer service to our policyholders, beneficiaries and agents.

  • Basic knowledge of claims administrative procedures.

  • Basic knowledge of insurance products.

  • Good critical thinking abilities

  • Basic ability to prioritize

  • Basic ability to multi-task and adapt to an ever changing environment.

  • Good knowledge of Microsoft Word, Excel and Outlook.

  • Good ability to effectively communicate, both verbally and through written correspondence to our customer.

  • Basic knowledge of medical terminology

  • Good decision-making abilities.

  • Good interpersonal and organizational skills.

Requirements:

  • Bachelor degree (preferred) or equivalent work experience.

  • Some insurance industry or financial services customer service experience with 1 year claim experience preferred.

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