Disability Claim Specialist

About the role

A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment.

Responsibilities

• Secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service.
• Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income/expenses, insured status, and other policy provisions to accurately determine eligibility for disability benefits.
• Evaluate the insurance application for accuracy and consistency, engaging Underwriting, Legal, and other teams as needed.
• Work in partnership with medical, vocational, and financial resources supporting a thorough and consistent claim evaluation.
• Make and communicate disability approval decisions and issue correct benefits.

Requirements

• Education: Bachelor’s degree is preferred but in lieu of degree, IDI claims experience may substitute.
• Experience: A minimum of 3+ years of disability claims processing experience with at least 2 years of IDI specific claims experience.
• Ability to understand and interpret all claim evaluation materials such as contract language, medical records, financial records and legal correspondence.
• Experience acting as a liaison with underwriting, reinsurance carriers, sales, private investigators, etc.
• Recognize, understand and respond to situations involving potentially fraudulent activity and/or litigation to ensure a defensible file.
• Effectively identify and prioritize critical objectives focusing on high impact components.
• Provide effective leadership.

Qualifications

• Take action: Independently drives work forward and takes responsibility for achieving job requirements, tasks and objectives.
• Customer focus: Displays an interest in the customer by trying to understand their concerns and issues; draws on customer insight to help others with how to best meet current and future customer needs.
• Improvement mindset: Sees old problems and status quo as opportunities to improve; identifies opportunities to improve team performance.

Skills

• Understand and interpret all claim evaluation materials such as contract language, medical records, financial records and legal correspondence.
• Act as a liaison with underwriting, reinsurance carriers, sales, private investigators, etc.
• Recognize, understand and respond to situations involving potentially fraudulent activity and/or litigation to ensure a defensible file.
• Identify and prioritize critical objectives focusing on high impact components.
• Provide effective leadership.

Benefits

Our rich benefits package includes medical, dental, vision, and a 401(k) plan with matching company contributions. We also offer an annual incentive bonus plan, generous paid time off, an employee giving program that doubles matches your donations to eligible nonprofits and schools, and opportunities for career growth and advancement.

Pay

The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data. Salary Range: $76,250.00 - $111,500.00

Schedule

Positions will be posted for at least 5 days from original posting date.

Why Join The Standard?

We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:

• A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions.
• An annual incentive bonus plan.
• Absolutely no cookie/navigation/legal/EEO/scam-warning boilerplate, duplicated lines, or application instructions.