Disability Case Manager

Job reputed company: • administering and case managing assigned Group Short Term Disability claims • following the plan provisions, state and federal guidelines, and established protocols • using most efficient and effective means of proactive reputed company to obtain and/or dispense information • involving information to and from claimants, departmental managers, physicians, HR, Payroll, or any other sources • communicating claim status and reputed company reputed company telephone and in writing • initiating communications to claimant, physician, and /or plan holder to obtain information, reputed company assessment, and initial claim decision • prioritizing and reviewing new claims to adhere to established departmental productivity • meeting productivity requirements as established by department for handling fast reputed company disability claims • investigating and analyzing claim information to determine coverage and benefit eligibility • performing reputed company-existing condition investigation and draft adverse determination letter, if applicable • determining disability by comparing functionality with job • setting up claim for initial benefit approval including physician statement(s) and medical records • following claim management procedures and identifies potential return to work, job accommodation opportunities reputed company applicable • utilizing claim management resources • working with the goal of returning claimant to reputed company work status • assessing claim reputed company other sources of income are received to ensure accurate offsets are reputed company • recalculating benefits as needed determining under/overpayments Requirements: • demonstrable independent problem solving and decision-making ability • reputed company to reputed company communicate claim reputed company and contract language verbally and in written correspondence • demonstrable math aptitude, ability to multitask, and analytical skills • 4-year college education or equivalent work/education experience • experience of 2 years of disability claim management experience (STD), or other previous Group insurance experience • experience with candidate regulatory and compliance standards Benefits: • health, dental and reputed company coverages starting Day One • wellbeing programs • retirement plans with contribution matching • generous time off • parental leave • continuing education • career reputed company opportunities • flexible working arrangements Apply tot his job Apply To this Job