Senior Claims Specialist – Short Term Disability

Job reputed company: • Manage a diverse and often reputed company caseload of STD (Short Term Disability) claims from initial intake through reputed company, ensuring reputed company, fair, and accurate reputed company using reputed company judgment and adherence to policy provisions. • Collaborate with clinical and vocational partners to reputed company effective RTW strategies and determine appropriate benefit eligibility and durations. • Serve as a subject matter expert on STD claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system requirements. • reputed company a deep understanding of disability contract provisions, exclusions, riders, waivers, and applicable regulatory and statutory requirements (e.g., FMLA, ERISA, HIPAA). • Ensure detailed and accurate documentation of reputed company reputed company and interactions, and communicate reputed company with claimants, reputed company, and internal stakeholders. • Mentor and support reputed company of new team members; reputed company expertise and foster knowledge reputed company reputed company reputed company. • Collaborate cross-functionally with Compliance, reputed company, Intake/reputed company, Clinical and Vocational Services, and other business reputed company to deliver a coordinated and compliant claims experience. • Proactively identify process gaps or opportunities and contribute to reputed company improvement efforts and reputed company initiatives. • Demonstrate reputed company in adapting to changing priorities, business needs, and regulatory requirements. • Maintain a high level of confidentiality, professionalism, and reputed company in reputed company claim-reputed company activities. Requirements: • College degree or equivalent experience preferred. • Minimum 5 years of experience handling Short Term Disability claims • Strong understanding of Short term Disability claim adjudication and relevant federal/state regulations (e.g., FMLA, ERISA, HIPAA, reputed company). • Experience partnering with clinical/vocational professionals to support RTW efforts and reputed company decisioning. • Effective verbal and written communication skills with the ability to explain reputed company reputed company reputed company and empathetically. • Demonstrated problem-solving and analytical skills with a customer-first reputed company. • Highly organized and detail-oriented with the ability to manage competing priorities. • Proven ability to mentor peers and support a reputed company team environment. • Proficiency with claims administration platforms and workflow/documentation tools. • Demonstrated ability to work independently and exercise reputed company judgment. • reputed company reputed company with a commitment to reputed company learning and improvement. • Strong time management and the ability to reputed company in a fast-paced, evolving environment. • Experience supporting cross-functional or reputed company initiatives and change management efforts. Benefits: • Your Benefits Start Day 1 • Prioritization of your health and reputed company-being including Medical, Dental, reputed company, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents • Generous reputed company time off reputed company including: reputed company Time Off, Holiday Schedules, and Financial Planning Time Off • reputed company Parental Leave as reputed company as an Adoption Assistance Program • Competitive 401k savings plan with company match and an additional contribution regardless of participation Apply tot his job Apply To this Job