Integrate Absence Claims Specialist, Majors (Remote)

Date: Aug 3, 2022

Primary Location: Dover, NH, US

Company: Lincoln Financial


Alternate Locations: Dover, NH (New Hampshire); Atlanta, GA (Georgia); Boston, MA (Massachusetts); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home


Work Arrangement: Hybrid/Home


Relocation assistance: is not available for this opportunity.


Hiring Manager: Courtney Garland


Level: N4-1 


Pay Range: $20.82 - $31.20 


Bonus Potential:   


Requisition #: 70012



The Role at a Glance:

This position will perform and deliver on routine and progressively more non-routine assignments for integrated absence claims independently in accordance with established procedures/guidelines. They will process increasingly complex claims ensuring the fair, ethical, and timely processing of integrated absence claims. In addition, they will enable less experienced team members to perform their assignments.

What you'll be doing:

Works independently delivering on routine but progressively more non-routine work, in accordance with established procedures and guidelines in a timely manner and meets deadlines appropriately.
Reviews and processes increasingly complex integrated absence claims for payment or denial independently in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
Works overtime as needed.
Meets or exceeds departmental quality and service standards.
Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
Makes routine and progressively more non-routine decisions independently, in accordance with established procedures and guidelines.
Acts as the first point of contact for escalated issues coming in to their work group to provide resolution. Escalates issue to their manager when needed.
Shares a diverse range of knowledge and information and/or enables less experienced team members to perform their assignments.
Provides responses and a diverse range of claims information to team members' less routine questions without supervision.
Performs a diverse range of tasks/transactions related to common programs and services by directly applying expanded knowledge obtained from the role in increasingly more complex situations.
Reviews and provides information to increasingly complex questions/concerns from internal/external stakeholders (e.g. internal partners, policyholders, brokers, etc.) without supervision in accordance with established procedures and guidelines.
Obtains needed increasingly complex claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor in all interactions.
Ensures the accuracy and completeness of submitted claims.
Provides customer service to internal and/or external stakeholders, recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness to meet customer needs independently.
Recognizes increasingly complex issues/concerns for assigned area(s) of responsibility, explains effect on the customer's service experience, and suggests process improvements.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.
Remains current in profession and industry trends.
Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processes
Performs other duties as required.

What we're looking for

Ability to work with others in a team environment.
Ability to perform under stress in cases of emergency, critical or hazardous situations.
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
Successfully completes regulatory and job training requirements.
Demonstrates strong interpersonal skills with a collaborative style.
Demonstrates the ability to use sound judgment and discretion regarding confidential information.
Demonstrates ability to work in a fast-paced environment.
Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
Finds common ground and can gain collaboration among management, colleagues and peers.
Demonstrated solid relationship management skills with internal and/or external clients (e.g. management, peers, colleagues, customers).


High School or GED - Minimum Required



3 - 5+ Years 3-5 years of claims experience directly aligned to the specific responsibilities for this role OR for candidates with an Associate degree or above, 0-1 year of claims experience directly aligned to the specific responsibilities for this role. (Required )


Work Arrangement

Hybrid/Home : Employees will work from home on average more days per week. 


Lincoln will evaluate the following when setting the successful candidate's wage rate:
•    Prior work or industry experience.
•    Education level to the extent education is relevant to the position.
•    Unique skills


Additional Information

This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities. Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.


Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.


Benefits at a Glance


This Employer Participates in E-Verify. See the E-Verify notices.

Este Empleador Participa en E-Verify. Ver el E-Verify avisos. 

Nearest Major Market: Dover

Job Segment: Claims, Compliance, Law, Change Management, Insurance, Legal, Management