Benefit Specialist Trainee - Portland
Core
Trainee learning to resolve complex employee benefit claims (Long Term Disability and Long Term Care) for client companies, ensuring fair eligibility decisions and return-to-work strategies.
Role type
Entry-level claims adjudicator trainee
Builds
Claims decisions and customer service interactions for employee benefit plans
Domain
Insurance / Employee Benefits
Deliverable
client delivery
Required skills
Claims adjudication, contract/policy analysis, regulatory compliance, return-to-work strategy, claim validation, documentation, mathematical aptitude, PC skills
Preferred skills
College degree, customer service experience, problem-solving, multitasking, team collaboration
Technologies
Claims systems, PC software
Responsibilities
Manage assigned caseload of complex claims, analyze technical contractual knowledge to determine eligibility and liability, verify ongoing liability and develop return-to-work strategies, produce objective documentation for claim determinations, provide timely customer service and claim decisions, coordinate with internal resources (financial, medical, vocational)
Seniority
Entry-level, mentored trainee