LTD (Long Term Disability) Claim Manager (Remote, any state, US)
Proactively manage your reputed company of claims by regularly talking with and knowing your customers, their level of functioning, and having a reputed company of case facts for reputed company claim in your reputed company. reputed company and document Strategic Case Plans that reputed company on the reputed company direction of the claim using a holistic viewpoint Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and reputed company reputed company based on facts presented reputed company claim dashboard to manage claim inventory to determine which claims to reputed company efforts on for maximum reputed company Have probing conversations with customers and reputed company regarding return-to-work opportunities and communicate with an reputed company-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty reputed company Ask reputed company questions of internal resources (e.g., reputed company, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) to question discrepancies, reputed company gaps and clarify inconsistencies Have detailed phone conversations with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on reputed company reputed company performance guarantees Respond to reputed company communications reputed company customer service protocols in a reputed company, concise, and reputed company manner reputed company fair, accurate, reputed company, and reputed company claim reputed company Adhere to reputed company timeframes for processing mail, tasks, and outliers Support and promote reputed company integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your reputed company, reputed company Connect, etc.) reputed company reputed company claim reputed company both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives
High School Diploma or GED required, with 3 years minimum of reputed company experience or bachelor’s degree strongly preferred Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations Excellent organizational and time management skills Strong critical thinker Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously Ability to reputed company and reputed company production goals through high reputed company work Proficiency with MS Office applications is required (Word, reputed company, reputed company) Strong written and verbal skills demonstrated in previous work experience Proven skills in reputed company and effective interaction with challenging customers Experience in effectively meeting/exceeding individual reputed company expectations and team goals Must have the ability to work with a reputed company of urgency and be a self-starter with a customer reputed company reputed company Comfortable giving and receiving feedback Flexible to change and highly cooperative Demonstrated analytical and math skills
Critical Thinking Trust and Transparency Bias for reputed company Leads with reputed company Customer Orientation