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Customer Service/ Service Orientation
Understands principles and processes for providing customer services. This includes customer needs assessment, meeting quality standards for services, approaching conversations with empathy, managing conflict, and keeping customers informed.
Insurance Claims Principles and Practice
Knows and understands the core principles of insurance and can apply to operations.
Uses company processes and state policies to facilitate claims processing for policyholders by gathering or requesting information, managing records, corresponding with stakeholders to manage and resolve open claims, identifying compensability red flags, and approving payments.
Confidential Information Handling
Ensures the privacy of client data and confidential situations at all times.
Effectively uses the claims system to perform essential job functions.
Reads, aggregates, distills, and disseminates internal and external data to perform essential job functions.
Analyzes and processes complex data for core business operations. Identifies the underlying principles, reasons, and facts of data sets. Breaks down information or data into separate parts.