Associate, Claims Recalculation & Recovery Services

Alternate Locations: Work from Home; Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska)

 

 Work Arrangement:

Remote : Work at home employee residing outside of a commutable distance to an office location.

 

Relocation assistance:  is not available for this opportunity.

 

Requisition #: 74349

 

The Role at a Glance

As an Associate - Recovery Specialist you will be responsible for managing the calculation and recovery of offsets, settlements, overpayments, and underpayments of disability claims.  In this role, you will gather financial and other relevant information from customers, claimants, claims case managers, Attorney’s, and vendors to validate benefits paid and calculate potential overpayments or underpayments and negotiate timely, appropriate repayment arrangements and settlements. 

 

The Financial Services Team will provide you with several weeks of paid training, coaching and development to perform in this fast-paced environment.  Training will be led by one of our dedicated trainers in a virtual setting, along with a cohort of peers, and will provide you with foundational knowledge to assist you in excelling in a career with Lincoln Financial Group.

 

As an Associate - Recovery Specialist you will be responsible for managing the calculation and recovery of offsets, settlements, overpayments, and underpayments of disability claims.  In this role, you will gather financial and other relevant information from customers, claimants, claims case managers, Attorney’s, and vendors to validate benefits paid and calculate potential overpayments or underpayments and negotiate timely, appropriate repayment arrangements and settlements. 

What you'll be doing

• Analyze, compare, calculate, and reconcile complex financial data/calculations pertaining to complex scenarios on the SystemOne platform. Interpret policy/contract provisions, calculate overpayments on System Corrections related to tax withholding, claims coding, deductions, claim taxability, Class assignment, Workers Compensation, COLA, complex customers, benefit offsets, and RTW/work earnings. 
•  Consult with claimants, vendors, attorneys, and customers to explain calculations and collection processes.  Negotiate all settlements and repayment plans that exceed 24 months or more to maintain within state and federal debt and collection guidelines.  
•  Respond to calls, letters and emails from policyholders, agents, vendors, attorneys, internal partners, and providers related to claim underpayments, overpayments and explanation of benefits. Responsible for all escalations including DOI and Legal etc.
•  Perform within company regulations regarding HIPAA, fraud, confidentiality, and private information.
•  Provide, document, and deliver to management creative alternatives and recommendations to streamline processes and improve production. Follow up and execute final product.
•  Identify trends, advise, and recommend actions to a manager based on sound analysis, and follow through with implementation.
•  Demonstrate core values and leadership attributes: Me – Pursue Excellence, Us – Be One Team Lincoln, We – Win for customers and stakeholders. 
•   Demonstrate the ability to resolve a variety of standard and atypical problems while mentoring the team on how to provide solutions to diverse customer concerns.
•   Administer a structured Training Program that specifies milestones and required competencies.
•   Conduct continuous training, auditing, and provide feedback to management regarding new staff and newly promoted employees.
•    Define, document, and educate best practice & training documentation to maintain consistent and aligned across the financial department.
•   Take initiative to recognize and analyze root cause problems with the intent to provide recommended solutions to improve operation effectiveness.
•   Gain and update job knowledge to remain informed.
•   Responsible for reviewing and approving payments that exceed recovery specialists set authority level up to $10k. 
•    Responsible for reviewing and approving repayment plans that are outside of the recovery specialist’s authority levels. 
•   Responsible for reviewing, handling, and resolving escalated issues from Attorneys, Customers, claimants, and business partners on behalf of the manager.
•   Simultaneously working within several systems independently.

 

What we’re looking for

• Extensive knowledge on the S1 platform. Fully trained and proficient in all aspects of Financial Recovery Services role.  
•  Undergradu