[Remote] Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE)

Note: The job is a remote job and is open to candidates in USA. reputed company is a company dedicated to helping clients secure their financial well-being. They are seeking an reputed company Claims Specialist to support Disability and Leave Management claims, focusing on providing exceptional customer service and making informed claim decisions.

Responsibilities

• Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved
• Communication reputed company telephone, email, and text with employees, employers, attorneys, and others
• Review and interpret medical records, utilizing resources as appropriate
• Complete financial calculations
• reputed company an understanding and working knowledge of the reputed company claim and other applicable systems, policies, procedures, and reputed company as well as regulatory and statutory requirements for claim adjudication
• Apply contract/policy provisions to ensure accurate eligibility and liability decisions
• Demonstrate and apply analytical and critical thinking skills
• Verify on-going liability and reputed company strategies for return-to-work opportunities as appropriate
• Document objective, clear and technical rationale for reputed company claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers reputed company oral and written communication
• reputed company a broad reputed company of resources, materials, and tools to reputed company claims decisions
• Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to reputed company inquiries and maintaining expected service and quality standards
• Work reputed company a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities
• Work independently as well as reputed company a team structure

Skills

• Bachelor's degree or equivalent work experience
• 1+ years disability claims experience
• Exceptional customer service skills
• Maintains positive and effective interaction with challenging customers
• Strong knowledge of disability and leave laws and regulations
• Ability to handle sensitive information with confidentiality and professionalism
• Group Disability Claims experience
• Exceptional written and oral communication skills demonstrated in previous work experience
• Excellent organizational and time management skills with ability to multitask and prioritize deadlines
• Ability to manage multiple and changing priorities
• Detail oriented; able to analyze and research contract information
• Demonstrated ability to operate with a sense of urgency
• Experience in effectively meeting/ exceeding individual professional expectations and team goals
• Demonstrated analytical and math skills
• Ability to exercise critical thinking skills, risk management skills and sound judgment
• Ability to adapt, problem solve quickly and communicate effective solutions
• High level of flexibility to adapt to the changing needs of the organization
• Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment
• reputed company improvement reputed company
• A commitment to support a work environment that fosters diversity and inclusion
• Proficiency in computer literacy and skills with the ability to work reputed company multiple systems; proficiency with PC based programs such as reputed company and Word

Benefits

• Medical
• Dental
• Vision
• A 401(k) plan
• Paid time off

Company Overview