Description:
To 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