Geraldine Cebrik, Almi, Acs Email & Phone Number

Shelton, Ct, Us

United States

Review and process Group life insurance claims according to policy contract language.Evaluate Accelerated Death Benefit requests and Accidental Death and Dismemberment claims for possible payment.Communicate with plan sponsors and beneficiaries via telephone and in writing.Conduct routine investigations on contestable group life insurance claims.

Conduct routine investigations on contestable individual life insurance claims to determine if requirements are met for payment.Conduct routine investigations on contestable Long-Term Care claims to determine eligibility of coverage.Manage the quality review of claim files to ensure proper documentation has been requested and correct processing has been completed by peers.Request and evaluate medical records and claim documents.Work with management as well as external and… Show more Conduct routine investigations on contestable individual life insurance claims to determine if requirements are met for payment.Conduct routine investigations on contestable Long-Term Care claims to determine eligibility of coverage.Manage the quality review of claim files to ensure proper documentation has been requested and correct processing has been completed by peers.Request and evaluate medical records and claim documents.Work with management as well as external and internal legal counsel to resolve complex claim issues.Consult with Underwriting regarding medical history and application questions.Mentor and train Claim Examiners on contestable claim proceduresReview and process large dollar individual life insurance claims. Show less

Review and process incontestable/contestable reinsured individual life and waiver of premium claims.Review and process Critical Illness reinsured claims.Maintain treaty compliance procedures and complete treaty profiles to ease processing of claims.Balance month end claim reports and report results to management.Work with retrocessionaires to collect payment due on retroceded claims.Passed LOMA exam FLMI 280.

Provide reinsurers with weekly and monthly reports and supporting claim documents.Work with reinsurers to answer claim related questions.Streamline existing procedures for verifying reinsured claims.Interpret treaties to establish reinsurance workflows for Claim Examiners.Communicate changes in procedures to reinsurers.

Review and process life insurance claims.Outline requirements to customers via verbal and written communication.Provide back-up support to Administrative Technician.Organize a large scale waiver of premium project.Contact customers to confirm status of insured’s disability.Presented with the ASCENT award due to the success of the disability project.

Master Of Arts, Italian

Activities and Societies: Acted and assisted in production of the play "Long Legged Lies".

Bachelor Of Arts, Italian

Activities and Societies: Foreign Study Abroad in Florence, Italy 1993-1994, Student Union Board of Governors, Dorm Student Council Magma.

Bachelor Of Arts - Ba