Group Insurance Sr. Disability Claims Examiner

About the role

This Senior Level Claim Manager role provides concierge-level customer service to one of Group Insurance’s largest clients. The role involves guiding and coaching employees through the life cycle of a disability claim, engaging Expert Resources to address Behavioral Health and Vocational opportunities, and interacting with the client’s Benefits Business Partners.

Responsibilities

• Deliver world-class service to ensure a more effortless experience for the employee
• Engage Expert Resources to enhance the claim journey
• Interact with the Leave team during quarterly virtual meetings
• Interface daily with the client’s Benefits Business Partners
• Seek out opportunities to improve the claimant experience and serve as an ambassador for continuous process improvement
• Manage an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims
• Oversee complex claims, including those with co-morbidities, behavioral health issues, and self-reported symptoms

Requirements

• 3+ years of LTD experience
• Experience with Short-Term Disability (STD) claim handling and Life Waiver of Premium is preferred
• Expert-level, proactive communication skills
• Energetic customer focus evidenced through maintaining customer relationships
• Confidence in communicating with highly skilled and highly educated claimants in the software industry
• Excellent documentation skills
• Advanced math skills for financial calculations
• Strong ability to work through ambiguous situations and adjust course quickly
• Excellent organizational and time management skills
• Demonstrated teamwork skills and ability to leverage resources

Qualifications

• Expert communication skills using various pathways
• Ability to interact confidently with attorneys and specialty medical professionals
• Strong understanding of policy and plan provisions
• Ability to perform financial calculations related to salary and incentives, partial disability calculations, RTW incentives, and offsets
• Technical direction to other claims personnel as needed

Skills

• Exceptional customer service skills
• Proactive problem-solving abilities
• Effective communication and collaboration skills
• Ability to manage complex cases

Benefits

• Market competitive base salaries
• Yearly bonus potential
• Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences
• 401(k) plan with company match (up to 4%)
• Company-funded pension plan
• Wellness Programs
• Education Benefit
• Employee Stock Purchase Plan
• Discretionary annual incentive program

Pay

$61,700.00 to $101,900.00

Schedule

Virtually