Company Description: Who we are:
Guardian is a Fortune 250 global financial services company, as well as one of the largest mutual insurance companies in America. Guardian offers a range of insurance products from life insurance and disability income insurance to annuities and dental plans.
We are proud to be able to deliver on our commitments and to be able to serve our clients when they need us the most. We are committed to creating better futures for our clients, employees, and communities. We do this by keeping our values in sight:
1.We do the right thing
3.We hold ourselves to very high standards
Claim Payment and Service Representative
High School or Equivalent
Some of the responsibilities will include:
Claim Payment Processing
•Responsible for creating model payment, set-on autopay, and process of renewal payments within appropriate time frames.
•Perform various adjustments, requiring management of the autopay process, such adjustments are: Cost of Living, FICA, Stop Payment/Reissue & Payee adjustments.
•Responsible for claim policy review and maintenance for: Initial payments on FIO & RPP policies, SIS offset when Social Security is awarded, Max Pay date for policies final payments or transition to lifetime benefits and policy termination, overpayments & final Payments. All noted activities are also followed up with appropriate file audit documentation and correspondence to the claimant.
•Unemployment Waiver of Premium Processing.
•Direct Deposit Set up & Returns.
•Acknowledgement of call or letter from Consumer.
•Address Change – applied to Claim system while ensuring process is followed for downstream systems.
•Routine Mail Management – form review, resend forms, review returned mail and customer outreach as needed.
•Outlook Email Inbox – Management of miscellaneous tasks, duplicate policy review, unclaimed funds and customer call backs as needed.
•Mailings: Ensure forms are emailed or mailed to the insured
•Follow-ups: Ensure follow-ups are made by email, paper mail, or phone call to the insured for outstanding proof of loss requirements
•Form Review: Upon return of forms, review against prescriptive criteria to assess whether file should be escalated.
Your attention to detail and strong communication skills, both written and verbal. Proficient in Word, Excel, and other general office computer skills. Possess the ability to manage multiple priorities all with a positive attitude and within established time expectations. Demonstrated ability to remain agile and contribute to a teamwork environment as well as to work independently.
At Guardian, everyone is a leader. Your demonstrated ability to provide superior service, express yourself in an open, honest and thoughtful manner, and embrace feedback and change will allow you to continue to develop professionally while allowing Guardian to differentiate our business and deliver on our future.
Qualifications - External
In addition to the above, you will also likely possess:
•Minimum of a High School diploma or equivalent.
•Solid knowledge of computer fundamentals.
•Knowledge of claim terminology.
•Knowledge of DI Claim System (Cypress) and various Administration systems.
We offer our employees:
•Paid parental leave and backup family care
•Medical, dental, vision plans
•Life and disability insurance
•Paid Time Off (PTO)
We recognize the importance of a work life balance. We promote healthy lifestyles and flexible work arrangements for our employees.
Social responsibility is part of our mission. It stems from our corporate values of putting people first, doing the right thing, and holding ourselves to high standards. As a company and as employees, we are engaged in a variety of initiatives such as volunteering within our local communities, educational alliances with colleges, focusing on sustainability, and promoting diversity and inclusion.
If you would like to learn more about this opportunity, please apply online. We look forward to getting to know you. Click "Apply" and then to position 20001616 Claims Payment & Service Representative.
Guardian has been helping people protect their futures and secure their lives for more than 160 years. Every day, we serve approximately 29 million people through a range of insurance and financial products. As one of the largest mutual insurance companies, we know what matters most: putting the needs of our customers first. Because everyone deserves a Guardian. Learn more about Guardian at guardianlife.com