Reference no: EM132835847

1. Identify regulations, laws, principles, or relationships that explain facts, data, or other information pertaining to claims processing; analyzes information presented for claims and makes correct inferences and conclusions regarding eligibility for multiple types of benefits.

2. Make sound, well-informed and objective decisions concerning the claims review process; perceives the impact and implications of decisions; commits to action even in uncertain situations in order to assist customers and meet organizational goals.

3. Display a high level of initiative, effort and commitment towards completing claims and other assignments in a timely manner; works independently with minimal supervision; is motivated to achieve; sets well-defined and realistic goals that are in alignment with organizational goals and objectives.

4. Express information (facts, decisions, ideas) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); listens to others, asks questions and gains or shares information related to claims review process.

5. Use computers, software applications, databases, and automated systems to accomplish work. This includes tasks such as entering, sorting and retrieving data; analyzing data; researching information; monitoring work; and preparing correspondence and reports.

6. Work with customers, their families and representatives: fellow employees at all levels: and other outside groups/individuals to assess their needs, provide information and service about claims and other benefits, answer questions and resolve problems.

7. Prepare written correspondence to customer and co-workers via email, letters, reports, etc. using correct grammar, spelling, punctuation and style; communicates information in a succinct and organized manner; provides