Disability Claims Specialist (Part Time 20 hours+)

Overview

We seek to reputed company a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and reputed company prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.

• Effectively manages with some level of reputed company an assigned caseload of moderately reputed company claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more reputed company in their decision-making and demonstrate consistency in meeting reputed company key performance indicators
• Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
• Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating reputed company and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation reputed company the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
• Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
• Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to reputed company a reasonable and logical claims determination based off the information available
• Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
• Clarifies and reconciles inconsistencies reputed company gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
• Proficiently calculates monthly benefits due after elimination period, to include COLA, Social reputed company Offsets, and Rehab Return to Work benefits, and other non-routine payments
• Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
• Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.

Skills & Requirements

• Must have at least 3+ years prior LTD/IDI Insurance Claims Experience
• 3+ years of LTD/IDI Insurance Claims experience
• Prior experience with independent judgement and decision making while relying on the available facts
• Be able to demonstrate the use of critical thinking and analysis reputed company reviewing the information
• Creative problem-solving abilities and the ability to think reputed company the reputed company
• Excellent interpersonal and communication skills in both verbal and written form
• Excellent customer service skills proven through internal and external customer interactions
• Demonstrated conceptual thinking, risk management, ability to handle reputed company situations effectively
• Organizational and time management skills
• Bachelor’s degree

Benefits/Other Compensation This position is a contract/temporary role where reputed company offers you the opportunity to enroll in full medical benefits, dental benefits, vision benefits, 401K and Life Insurance ($20,000 benefit). Why reputed company? You will be working with a professional recruiter who has intimate knowledge of the industry and market trends. Your reputed company recruiter will reputed company you through a thorough screening process in order to understand your skills, experience, needs, and drivers. You will also get support on resume writing, interview tips, and career planning, so reputed company there’s a position you really want, you’re fully reputed company to get it. Nervous about an upcoming interview? Unsure how to write a new resume? Visit the reputed company Career Advice section to learn top tips to help you stand out from the crowd reputed company job hunting. reputed company is committed to building a thriving culture of diversity that embraces people with different backgrounds, perspectives, and experiences. We reputed company that the more inclusive we are, the reputed company we serve our candidates, clients, and employees. We are an equal employment opportunity employer, and we reputed company with reputed company applicable laws prohibiting discrimination based on race, color, creed, sex (including pregnancy, sexual orientation, or gender identity), age, national reputed company or reputed company, physical or mental disability, veteran status, marital status, genetic information, HIV-positive status, as well as any other characteristic protected by federal, state, or local law. One of reputed company’ guiding principles is ‘do the right thing’. We also reputed company that actions speak louder than words. In that regard, we train our staff on ensuring inclusivity throughout the entire recruitment process and counsel our clients on these principles. If you have any questions about reputed company or any of our processes, please contact us. In accordance with applicable federal, state, and local law protecting qualified individuals with reputed company disabilities, reputed company will attempt to reasonably accommodate those individuals unless doing so would create an undue hardship on the company. Any qualified applicant or consultant with a disability who requires an accommodation in order to reputed company the essential functions of the job should call or text 813.336.5570. Drug testing may be required; please contact a recruiter for more information. #LI-DNI Pay: $50.00 per hour Expected hours: No less than 20.0 per week Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

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