LTD Claims Technical Consultant

About the role

The Technical Consultant is responsible for day-to-day execution to drive delivery of key metric results while increasing claim management accuracy and service delivery. The Technical Consultant will develop and maintain a culture of continuous improvement by identifying root causes, problem solving, identifying solutions to improve performance and innovation.

Responsibilities

• Provide Technical Support to Claim Teams including Claim Auth reviews
• Serve as SME on complex issues
• Drive improvements in initial claim decision, Claim Management Accuracy and & CID turnaround times
• Leverage automation and/or alternate sourcing options to handle additional tasks
• Collaborate with all lines of business to promote best practices to improve efficiency
• Support at least one interdepartmental collaboration team to help drive positive outcomes, supporting each functional area and creating organizational awareness
• Leverage data analytics to improve claim management outcomes

Requirements

• 3+ years LTD claims handling experience, prior DI experience or equivalent experience required
• Minimum 1 year experience providing feedback to front line staff and front-line supervisors

Qualifications

• Excellent verbal and written communication skills
• Strong analytical, organizational, time management and problem-solving skills
• Ability to prioritize and manage multiple tasks in a fast-paced environment
• Proven training skills on an individual and team basis
• Ability to mentor/coach staff and peers to ensure proper claim adjudication and contribute to staff development
• Ability to work independently and within a team
• Demonstrated ability to identify and manage risk
• Self-motivated
• Extensive knowledge of Group Long Term disability products, administration, and claims procedures
• Strong knowledge of PC Applications (including Microsoft Office, databases, imaging systems, etc.)
• Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management
• Excellent PC skills with knowledge of MS Word/Excel/PPT

Skills

• Leadership Behaviors

Benefits

You will have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Pay

$58,620.00 - $96,300.00

Schedule

This role provides work from home flexibility and travel to Guardian offices as needed determined by the People Leader.