Short Term Disability Claims Specialist
Job Description:
• Communicate with claimants, employers and various medical professionals through phone and e-mail to gather information regarding the Short-Term Disability claim.
• Collaborate with fellow case managers, nursing case managers and consulting physicians to make appropriate and timely claim determinations.
• Review complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning.
• Complete accurate financial calculations consistent with company and state guidelines.
• Provide exceptional customer service and proactively recognize customer needs and areas of opportunity.
• Identify and recommend process improvements and organizational initiatives to positively influence the team and quality.
Requirements:
• High School diploma or GED
• 1-2 years of experience in claims, leaves or customer service
• Strong written and verbal communication skills
• Excellent organization skills with the ability to multi-task
• Ability to work with others in a fast-paced, team environment
• Ability to quickly learn complex systems and product knowledge
• Ability to navigate through multiple systems/databases/platforms/software while engaging in customer conversations
• Ability to be adaptable/flexible as business needs change
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Must have internet bandwidth of 12 Mbps (Megabits per second). Preferred bandwidth is 25 Mbps to perform at full capacity.
Benefits:
• PTO/parental leave
• Competitive 401K and employee benefits
• Free financial counseling, health coaching and employee assistance program
• Tuition assistance program
• Effective productivity/technology tools and training
Apply Now
Apply Now
• Communicate with claimants, employers and various medical professionals through phone and e-mail to gather information regarding the Short-Term Disability claim.
• Collaborate with fellow case managers, nursing case managers and consulting physicians to make appropriate and timely claim determinations.
• Review complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning.
• Complete accurate financial calculations consistent with company and state guidelines.
• Provide exceptional customer service and proactively recognize customer needs and areas of opportunity.
• Identify and recommend process improvements and organizational initiatives to positively influence the team and quality.
Requirements:
• High School diploma or GED
• 1-2 years of experience in claims, leaves or customer service
• Strong written and verbal communication skills
• Excellent organization skills with the ability to multi-task
• Ability to work with others in a fast-paced, team environment
• Ability to quickly learn complex systems and product knowledge
• Ability to navigate through multiple systems/databases/platforms/software while engaging in customer conversations
• Ability to be adaptable/flexible as business needs change
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Must have internet bandwidth of 12 Mbps (Megabits per second). Preferred bandwidth is 25 Mbps to perform at full capacity.
Benefits:
• PTO/parental leave
• Competitive 401K and employee benefits
• Free financial counseling, health coaching and employee assistance program
• Tuition assistance program
• Effective productivity/technology tools and training
Apply Now
Apply Now