Enterprise Operations is hiring a Claims Adjuster to provide evaluation, adjudication and processing in a timely, cost effective manner that is compliant with state regulations and company policies.This is your opportunity to provide claim service in a manner that promotes integrity and customer satisfaction.As a Claims Adjuster, your responsibilities will include:Evaluation, adjudication and processing in a timely, cost effective manner that is compliant with state regulations and company policies.
Reviewing 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.
Calculating payment of benefits due and processes claims in the appropriate admin system.
Communicating 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.
Documenting claim file of all actions taken.
Identifying opportunities for process improvements and implementing changes once identified.
The Claims Adjuster position is well-suited for you if you:Provide prompt and high-quality customer service to our policyholders, beneficiaries and agents.
Hold basic knowledge of claims administrative procedures, insurance products and medical terminology.
Have good critical thinking abilities and can prioritize.
Effectively communicate, both verbally and through written correspondence to our customer.
Qualified candidates will have:Bachelors’ degree (preferred) or equivalent work experience.
One year of insurance industry or financial services customer service experience preferred.
One year of claims experience preferred.
CNO Financial Group is a holding company that provides health and life insurance, as well as retirement solutions, to middle-income Americans through its family of established insurance brands: Bankers Life, Colonial Penn and Washington National. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 5,000 exclusive agents and 4,000 independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.We are financially strong and well positioned for continued growth, and we are grounded in our core values of Diversity, Equity & Inclusion (DE&I); Integrity, Customer Focus, Excellence, and Teamwork.At CNO Financial Group, we’re always looking forward—to the security and stability we help create for our insurance brands’ customers, and the growth we create within our own company. We're looking for ambitious people who want to do more. We'll provide you with opportunities to grow your skills through challenging professional experiences.If you're looking for a culture that encourages development, helps you reach your potential, and rewards you for your contribution, then CNO Financial Group is right for you. For more information, visit CNOinc.com.At this time, CNO is not mandating its associates to be vaccinated against COVID-19 as a condition of employment. However, this is an evolving situation, in the future CNO may require its associates to be vaccinated as a condition of employment, subject to reasonable accommodations required by applicable law.ReqID: POS-109444Category: ClaimsJob Type: Full-Time