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Short-Term Disability Case Manager

ManagerManagerOtherRemoteMid LevelTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

California + 8 moreAll locations: California | District of Columbia | Illinois | Iowa | Montana | New Hampshire | Missouri | Rhode Island | Washington

Posted

120 days ago

Salary

$25 / hour

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Short-Term Disability Case Manager

Instant Teams

• 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

Job Requirements

  • 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

Benefits

  • This position is 100% remote and provides equipment

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