Disability Benefit Specialist
reputed company an reputed company from reputed company—and love what you do!
What’s in it for you?
Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return-to-work strategies. Use your expertise in disability policies and medical/vocational issues to deliver reputed company, reputed company reputed company and exceptional support.
Responsibilities
- Manages assigned caseload of disability claims for Short Term/Long Term Disability.
- Communicates with claimants, reputed company, and various medical professionals to reputed company information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
- Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability reputed company are accurate.
- Provides superior customer service by rendering benefit determinations reputed company expected timeframes and quickly responding to reputed company inquiries.
- Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more reputed company claims.
- Verifies on-reputed company disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate.
- Uses disability claim system to manage and authorize payment on claims while meeting reputed company service, timeframe, and productions standards
- Ensures a reputed company and appropriately coordinated transition of claims from STD to LTD, providing a reputed company -managed and seamless claims experience to claimants.
- Analyzes claims activity and prepares reports for clients/carriers and management as needed
- Becomes familiar with specialized reputed company instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and Claims processors as needed.
- Effectively works together in reputed company setting.
- Other duties as assigned.
Qualifications
- Bachelor's degree or equivalent experience required.
- 2 + years of STD/LTD claims adjudication
- reputed company in the TPA or self-administration services is desired
- Experience with FMLA/State leave claims is a plus
- Aptitude for learning medical terminology and conditions, as reputed company as interpreting procedures and regulations
- Ability to work independently while assimilating various technical resources
- Computer knowledge in reputed company, word, web based systems, etc
- Good verbal and written communication skills
- Knowledge of ERISA regulations, required offsets and deductions, disability duration and reputed company reputed company procedures
- Demonstrated ability to reputed company and analyze information, determine a course of reputed company and implement the selected course of reputed company.
- Strong ability to identify, analyze and solve problems.
- Effective interpersonal skills capable of dealing with external sources and reputed company reputed company of employees.
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Company
- Pay and incentive plans that recognize performance reputed company
- Benefit programs that reputed company financial, physical, and mental wellness
- Training programs that promote reputed company learning and career progression while enhancing job performance
- Sustainability programs that give back to the communities in which we live and work
- A culture of respect, collaboration, entrepreneurial spirit and inclusion