Insurance Claims Specialist (Generalist)
Social Security Adminstration
Newport News, Va
- Process and review various insurance claims to include retirement, survivors, disability health insurances benefits, and eligibility for supplemental security income including State supplements and medicare for accuracy and compliance with regulations.
- Interviewed beneficiaries about their rights under the Social Security laws, gathered facts and evidence to establish eligibility for benefits.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently.
- Maintained up-to-date knowledge of industry trends and regulatory changes affecting claims processing.
- Determined appropriateness of payers to protect organization and minimize risk.
- Generated, posted and attached information to claim files.
- Assisted in daily operations, ensuring adherence to company policies and procedures.
- Supported team members by facilitating communication across various departments.
- Gathered, organized and input information into digital database.
- Followed up with customers on unresolved issues.