Senior Representative- Claims Quality Assurance(43430)
New York Life Insurance Company (New York Life or the company) is the largest mutual life insurance company in the United States .
Founded in 1845, New York Life is headquartered in New York City, maintains offices in all fifty states, and owns Seguros Monterrey New York Life in Mexico.
New York Life is one of the most financially strong and highly capitalized insurers in the business.
The company reported 2015 operating earnings of $1.
875 billion.
Total assets under management at year end 2015, with affiliates, totaled $528 billion.
New York Life holds the highest possible financial strength ratings currently awarded to any life insurer from all four of the major ratings agencies:
A.
M.
Best, A++; Fitch AAA; Moody's Aaa; Standard & Poor's AA+.
(Source:
Individual Third Party Ratings Report as of 8/11/15).
Financial strength, integrity and humanity-the values upon which New York Life was founded-have guided the company's decisions and actions for over 170 years.
The Claims Quality Assurance Senior Representative will be a member of the Long Term Care (LTC) business team of New York Life Insurance Company.
The role will support the review and auditing of the Claims Service Level Agreements with the Long Term Care Group - Third Party Administrator (TPA).
Role
Responsibilities:
Auditing the Service Level Agreements with vendor company LTCG Conduct Quality Assurance Audits on various Long Term Care claims functions Generate Claims Reports, as requested Apply critical thinking toward a wide array of concepts and applications in order to generate the appropriate reports and solve problems Interpret complex policy language collaborating with external vendors
Qualifications:
Associates Degree preferred 2 years professional experience required Claims experience, including claims payment auditing experience, preferred Strong analytic, verbal and written communication skills.
Attention to detail and strong organizational skills.
Strong computer skills and computer usage knowledge; particularly Excel.
SF:
LI-LB1 SF:
EF-LB1 EOE M/F/D/V If you have difficulty using or interacting with any portions of this Web site due to incompatibility with an Assistive Technology, if you need the information in an alternative format, or if you have suggestions on how we can make this site more accessible, please contact us at:
576-5811.
Based on revenue as reported by Fortune 500, Ranked within Industries, Insurance:
Life, Health (Mutual), Fortune Magazine, June 15, 2015.
See for methodology.
1.
Operating earnings is the key measure use by management to track Company's profitability from ongoing operations and underlying profitability of the business.
This indicator is based on generally accepted accounting principles in the US(GAAP), with certain adjustments Company believes to be appropriate as a measurement approach ( non GAAP), primarily the removal of gains or losses on investments and related adjustments.
2.
Assets under management represent Consolidated Domestic and International insurance Company Statutory assets (cash and invested assets and separate account assets) and third party assets principally managed by New York Life Investment management Holdings LLC, a wholly owned subsidiary of New York Life Insurance Company.
Senior Representative- Claims Quality Assurance(43430).
Estimated Salary: $20 to $28 per hour based on qualifications.
Founded in 1845, New York Life is headquartered in New York City, maintains offices in all fifty states, and owns Seguros Monterrey New York Life in Mexico.
New York Life is one of the most financially strong and highly capitalized insurers in the business.
The company reported 2015 operating earnings of $1.
875 billion.
Total assets under management at year end 2015, with affiliates, totaled $528 billion.
New York Life holds the highest possible financial strength ratings currently awarded to any life insurer from all four of the major ratings agencies:
A.
M.
Best, A++; Fitch AAA; Moody's Aaa; Standard & Poor's AA+.
(Source:
Individual Third Party Ratings Report as of 8/11/15).
Financial strength, integrity and humanity-the values upon which New York Life was founded-have guided the company's decisions and actions for over 170 years.
The Claims Quality Assurance Senior Representative will be a member of the Long Term Care (LTC) business team of New York Life Insurance Company.
The role will support the review and auditing of the Claims Service Level Agreements with the Long Term Care Group - Third Party Administrator (TPA).
Role
Responsibilities:
Auditing the Service Level Agreements with vendor company LTCG Conduct Quality Assurance Audits on various Long Term Care claims functions Generate Claims Reports, as requested Apply critical thinking toward a wide array of concepts and applications in order to generate the appropriate reports and solve problems Interpret complex policy language collaborating with external vendors
Qualifications:
Associates Degree preferred 2 years professional experience required Claims experience, including claims payment auditing experience, preferred Strong analytic, verbal and written communication skills.
Attention to detail and strong organizational skills.
Strong computer skills and computer usage knowledge; particularly Excel.
SF:
LI-LB1 SF:
EF-LB1 EOE M/F/D/V If you have difficulty using or interacting with any portions of this Web site due to incompatibility with an Assistive Technology, if you need the information in an alternative format, or if you have suggestions on how we can make this site more accessible, please contact us at:
576-5811.
Based on revenue as reported by Fortune 500, Ranked within Industries, Insurance:
Life, Health (Mutual), Fortune Magazine, June 15, 2015.
See for methodology.
1.
Operating earnings is the key measure use by management to track Company's profitability from ongoing operations and underlying profitability of the business.
This indicator is based on generally accepted accounting principles in the US(GAAP), with certain adjustments Company believes to be appropriate as a measurement approach ( non GAAP), primarily the removal of gains or losses on investments and related adjustments.
2.
Assets under management represent Consolidated Domestic and International insurance Company Statutory assets (cash and invested assets and separate account assets) and third party assets principally managed by New York Life Investment management Holdings LLC, a wholly owned subsidiary of New York Life Insurance Company.
Senior Representative- Claims Quality Assurance(43430).
Estimated Salary: $20 to $28 per hour based on qualifications.
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