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SalaryTo evaluate, approve/disapprove, and process Loan Protection Claims and resolve claim discrepancies received from members, and other third parties in accordance with applicable federal and state laws, rules, regulations, and **** policies and procedures.
Responsibilities:
- Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required
- Research and respond to inquiries from members and internal business units
- Process GAP claims and make decisions within established guidelines and policies
- Provide claim and contractual information to appropriate internal and external parties
- Research, analyze and resolve claim discrepancies/processing issues
- Perform independent research, investigation, and analysis of GAP claims
- Receive guidance and instructions from Loan Protection Claims supervisors regarding complex claims and/or issues that are beyond scope
- Coordinate payment and closure of claims
- Maintain detailed records and contact history information on each member interaction and actions taken
- Ensure compliance with internal and external documentation and disclosure requirements
- Stay abreast of and ensure compliance with applicable federal and state laws, rules and regulations
- Research, gather, and prepare data and related correspondence
- Perform other duties as assigned
