Associate Claims Consultant – Guardian Life – Pittsfield OR Holyoke, MA –


**Please note we are seeking talent for our Pittsfield, MA office and our Holyoke, MA office**

This position is responsible for the provision of expertise in helping to fulfill contractual commitments made to policyholders by demonstrating a cultural/philosophical foundation of expeditious evaluations and fact based claim decisions, while concentrating efforts on ensuring customer satisfaction of the highest level.

Responsibilities:
This position utilizes problem solving, analytical, written and verbal communication skills to ensure timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers.

Proactively develop and execute an appropriate plan of action for pending and ongoing disability claims assigned by utilizing, managing and directing appropriate resources.  Conduct timely and accurate benefit determination in accordance with policy provisions and regulatory and internal standards while providing sound customer service to all internal and external cost

verbal and written communication.

Contribute to continued enhancement of claim process, policies, procedures and systems.

Assist in the development and mentoring of Associate Claims Consultants and Claim Consultants.

Participate in various department projects.

 

Qualifications

 

Competencies/Skills:

  • Excellent verbal and written communication skills
  • Critical thinking and analytical skills
  • Demonstrated accountability and initiative for providing excellent customer service
  • Meets expectations for accuracy and quality of work
  • Must exhibit a positive attitude and remain in control during stressful situations
  • Demonstrated ability to organize, prioritize and manage multiple tasks within time expectations.
  • Demonstrated ability to remain adaptable and contribute to a work environment that seeks and recognizes continuous improvement
  • Demonstrated ability to interact with confidence while engaging in open discussions in an effort to build rapport with others
  • Demonstrated knowledge of disability products and services

Knowledge:

  • Sound knowledge of Berkshire’s products, administration and claims procedures a plus
  • Strong knowledge of PC Applications (including Microsoft Office, Cypress, etc.) 

Education and Experience:

  • Bachelor’s degree or equivalent work experience 
  • ALHC preferred 
  • Financial, medical, occupational and investigative experience  
  • Minimum of 1 year of experience in a disability claims environment or equivalent work experience required 

Other Requirements:

    • Occasional field travel
    • Please note that in addition to a current resume, the business will require a cover letter for consideration.
    • If hired for our Holyoke, MA office, you will be required to travel to Pittsfield, MA office for Claims training.

Company Overview:

The Guardian Life Insurance Company of America, currently ranked #245 on the Fortune 500, is the country’s fourth largest mutual insurer, with $5.8 billion in capital and $8 billion in total revenue in 2012. Guardian consistently scores high marks for financial strength from all four major credit rating agencies and enjoys a strong competitive position in each of its four major businesses: Individual Life, Group Insurance, Individual Disability and Retirement Solutions.

As a mutual company, Guardian is owned by its policyholders and the company’s 5,100 employees and 3,500 financial representatives are aligned with its mission to help individuals, families and small businesses achieve financial security and protection.

Guardian has earned a reputation for financial stability and an unwavering commitment to the long-term interests of its policyholders and customers. This commitment has provided a foundation for Guardian to continue to evolve and thrive for over 150 years.

#LI-GC1

 

Primary Location

: United States-Massachusetts-Berkshire Regional Office