Quality Control Reviewer III

Responsibilities:
•    Conduct audit of life insurance and accidental death and dismemberment claims to measure timeliness and accuracy
•    Handle and resolve complex questions and issues, pended life insurance claims, inquiries and appeals
•    Communicate, in person, by telephone or in writing, with beneficiaries and their representatives, attorneys, employers, funeral homes, health care providers, and other professional regarding life insurance claims
•    Work closely with various departments to address eligibility, pension or other issues affecting life claim resolution 
•    Assist with claims referrals from life claims processors as needed
•    Delegate staff assignments and assist in training and retraining of staff
•    Troubleshoot problems and assist staff in resolving difficult issues, answer questions regarding policies and procedures
•    Create and maintain various production, statistical, financial, and audit reports
•    Assist life insurance staff members with difficult or complex calls, and walk in contacts
•    Monitor system performance related to life claims; identify trends, review results, and provide recommendations for improvements in training, controls and procedures or system updates
•    Assist hotline support as needed
•    Handle assignments of burial plots using plot grids and maps
•    Perform additional duties as assigned by management 

Qualifications:
•    High school diploma or GED required, some college or degree preferred
•    Minimum two (2) years experience as a life insurance approver processing group life and accidental death required 
•    Comprehensive knowledge of NBF, GNY and home care funds life insurance eligibility, benefits and rules for extended or limited continuation of benefits required
•    Experience working in MS Word and Excel preferred
•    Effective communications skills both written and oral required
•    Good interpersonal skills, including ability to communicate with the staff on a professional level
•    Ability to work under pressure and independently
•    Leadership ability including professional manner and presentation
•    Must meet quality and production standards set by the department