Short Term Disability, Absence Claims Case Manager I

Role Overview

• Effectively understand contract language and plan design for group disability.
• Communicate claim status and decisions via telephone and in writing.
• Initiate communications to claimant, physician, and planholder to assess and facilitate job accommodation opportunities.
• Conduct timely and accurate benefit determination in accordance with policy provisions and regulatory and internal standards.
• Investigate and analyze claim information in conjunction with contract provisions to determine coverage and benefit eligibility.

Requirements

• High School Diploma or GED required.
• STD, Statutory, or Family Medical Leave (FML experience preferred).
• Ability to provide exceptional customer service by communicating clearly and professionally.
• Ability to prioritize and multi-task while navigating through multiple business applications in a fast-paced environment.
• Successful completion of a job-related assessment is required.

Benefits

• Short Term Disability/Absence Claims Case Manager role may also be eligible for annual, sales, or other incentive compensation.
• Skills are enhanced through training and development opportunities.