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Short-Term Disability Case Manager
Location
United States
Posted
69 days ago
Salary
$52K / year
Seniority
Lead
No structured requirement data.
Job Description
Short-Term Disability Case Manager
Msccn
Role Description In this position, you will be responsible for ensuring the timely, accurate, and customer-focused decisions and appeals for Short-Term Disability and/or Absence Management claims. A successful candidate will combine strong analytical skills and be able to handle a high caseload. - Claim Adjudication and Decision-Making: - Render timely and accurate decisions on new and ongoing STD and AM claims. - Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information. - Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently. - Maintain the confidence to make claim decisions independently. - Case Management and Compliance: - Document the claims system comprehensively and accurately. - Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes. - Ensure full compliance with regulatory requirements and operational standards. - Meet or exceed all established claims team operational metrics. - Customer and Partner Engagement: - Maintain a superior level of genuine caring and empathetic customer service in all interactions. - Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs. - Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale. Qualifications - High School Diploma (Bachelor's Degree preferred) - 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience - Experience working with integrated claims (short-term, FMLA, etc.) - Preferred demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services - Demonstrated math proficiency in calculating and processing various employee compensation components (hourly wages, salaries, bonuses, time off). - Good understanding of medical terminology/pathology/anatomy - Articulate verbal and writing skills, decision-making, meeting deadlines, and working with confidential information - Moderate skills with Microsoft Office and other software applications - Customer service skills - Ability to manage stress, multitask, prioritize, and work effectively under pressure. - High level of attention to detail - Confidence to make claim decisions - Results-driven orientation - High attention to departmental/company procedures/practices Requirements - 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience is required! - Due to specific position requirements, we cannot hire from the following locations for this opportunity: OCONUS, California, Illinois, Iowa, Missouri, Montana, New Hampshire, Rhode Island, Washington DC Benefits - Pay: $25/hour - Training: Monday - Friday | 8am - 5pm EST (approx. 8 weeks in length) - Post-Training: Monday - Friday | 8am - 5pm EST - This position is 100% remote and provides equipment. Company Description Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers.
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