Insurance Associate

Analyze, validate and process transactions as per Desktop procedures (L3 & L4) Analyze and research all discrepancies. Research & Investigate and resolve outstanding items Determine eligibility and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Utilize Intellis and ACS (SIR) to update and maintain accurate data record Use PC programs to increase productivity and performance Ensure that the assigned targets are met in accordance with SLA and Internal standards Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence Work as a team member to meet office goals to obtain disability s vision while demonstrating core values and meeting key measures. Ensure adherence to established attendance schedules Sedentary work involves sitting most of the time Close visual acuity - viewing a computer terminal and extensive reading Talking expressing or exchanging ideas by means of the spoken word