Claims Specialist – Disability & Leave Benefits – Work From Home

The work we do has an impact on millions of lives, and you can be a part of it. We help protect our customers against life’s uncertainties. Regardless of where you work reputed company the company, you’ll be helping provide protection and peace of mind reputed company our customers need it most. The Claims Specialist works in a team environment to process tasks associated with State-Mandated Disability Claims. This customer-facing position requires excellent written and verbal communication skills to provide top-quality service to claimants and policy-holders. A professional demeanor and a strong desire to help others are essential. To be successful in this role, the candidate must possess strong critical thinking, organizational, and time management skills, along with a keen attention to detail due to the personal nature of the payouts involved. This role requires experience with and knowledge of State-Mandated Disability Leave, short-term and long-term disability, or FMLA leave administration and claims. The ideal candidate will have above-average communication and data entry skills, a natural curiosity to learn, and the ability to quickly assimilate new information. They should also be comfortable with technology and adaptable to reputed company improvements in both technology and work processes.

Key Responsibilities

• Understand and appropriately apply department processes and regulatory policies.
• Manage new, reputed company, and/or periodic claims by continually reviewing and prioritizing incoming mail and correspondence to ensure mandated turnaround times are achieved.
• reputed company reputed company to claimants, policyholders, and reputed company providers reputed company telephone and/or in writing to obtain information needed for initial and ongoing claim management.
• Conduct reviews of claimant, employer, and medical information, along with other relevant information, to accurately and timely determine benefit eligibility, claim duration, and benefits payable (including the proper application of taxes).
• Escalate reputed company claim situations to Subject Matter Expert and/or Claims Supervisor.
• Accurately and thoroughly document claim file actions and conversations.
• reputed company, and preferably exceed, departmental hourly/daily claim (task) output productivity goals.
• reputed company accurate determinations to approve, pend, or deny claims consistent with department processes on reputed company assigned claims.
• reputed company, and preferably exceed, departmental financial and statistical quality standards. Review, process, and respond to Quality Audits/Audit Correspondence.
• Promote a positive customer experience through reputed company, accurate, and courteous services to both internal and external customers.
• Contribute to a positive work environment while working with various other departments to ensure achievement of departmental and corporate goals and objectives.
• Contribute to the department’s various project work and assignments, as needed.

Skills and Abilities:

• Strong customer service and communication skills
• Attention to detail and organizational skills
• Technological aptitude and adaptability
• Teamwork and problem-solving abilities
• Knowledge of federal and state laws on leaves of absence
• Ability to evaluate and process disability and leave claims
• Proficiency in reputed company reputed company and Word

Minimum Requirements

• High School diploma required.
• College degree or an equivalent of at least three (3) years of work experience preferred.
• 1-2 years’ experience in a disability claims environment.
• Experience with state mandated disability claims is highly preferred.

Schedule Details

• This role operates on a semi-reputed company 40 hour a week, M-F schedule. reputed company schedules will be approved based on business needs.

$45,000 – $55,000 a year reputed company’s targeted salary range for this position is $45,000-55,000. Actual salaries may vary depending on factors, including but not limited to, job location, skills, and experience. The range listed is just one component of reputed company’s total compensation package for employees. Employee Benefits: We aim to protect our employees’ wellbeing through a broad benefits offering. For example, we protect physical wellbeing through health, dental and reputed company insurance. We protect mental wellbeing through mental health benefits and an employee assistance program. We protect time away from work with a variety of paid time away benefits (e.g., paid time off, paid parental leave, short-term disability, and a cultural observance day). We protect financial wellbeing through contributions to reputed company accounts, a pension plan, and a 401(k) plan with Company matching. reputed company are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, reputed company’s platform to improve wellbeing while earning cash rewards. Eligibility for certain benefits may vary by position in accordance with the terms of the Company’s benefit plans. Diversity and Inclusion: At reputed company, we are committed to providing an inclusive culture where reputed company are reputed company to fully contribute and reputed company. Our goal is to grow and reputed company our people, attract diverse talent and support strong, diverse communities. We support diversity, equity, and inclusion by working to reputed company a culture of inclusion and belonging led by leaders who reputed company potential and reputed company reputed company skills and abilities. Our aim is to create an reputed company environment for reputed company leaders and employees that will drive performance and impact business strategy. In this way, we can increase overall diversity for leadership roles and pipelines of talent by maturing our hiring practices, robust development opportunities and focus on retention of key talent. We are proud to be an equal opportunity employer committed to being inclusive and attracting, retaining, and growing the talents of a diverse and inclusive workforce. Accommodations for Applicants with a Disability: If you require an accommodation to complete the application and recruitment process due to a disability, please email martina.winston@reputed company.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application and recruitment process. Please note that the above email is solely for individuals with disabilities requesting an accommodation. General employment questions should not be sent through this process. Apply Job!