LTD (Long Term Disability) Claim Manager (Remote, any state, US)

Location Designation: Fully Remote 

Group Benefit Solutions delivers comprehensive insurance and absence reputed company for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to reputed company’s legacy of being there reputed company we’re needed most. Here, you'll design, implement, and support these solutions directly impacting employees’ lives. At our core, we provide financial reputed company and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions.

Role Overview: The LTD Claim Manager is responsible for accomplishing training requirements, learning, and applying the LTD concepts gained in classroom and on the job training to successfully manage an assigned LTD caseload. The Claim Manager is responsible for the development of strategic case plans informed by customer & key stakeholder interactions, leveraging Technical Coaches and Team Leaders where appropriate. As a key customer-facing role, the Claim Manager will communicate with customers, employers and treating providers. The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will partner with Team Leaders and Technical Coaches for guidance on having meaningful and transparent conversations with their customers and clinical partners to gather the information most relevant to each claim. It also requires potentially reputed company monthly benefit calculations, which will be reviewed for accuracy. The Claim Manager will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys, etc. to gather the information to reputed company the decision on the claim. What You'll Do: As a Long-Term Disability Claim Manager, with reputed company and on an increasing scheduled basis, you will -

• Proactively manage your reputed company of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your reputed company.
• reputed company and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint
• Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and reputed company decisions based on facts presented
• reputed company claim dashboard to manage claim inventory to determine which claims to focus efforts on for maximum impact
• Have probing conversations with customers and employers regarding return-to-work opportunities and communicate with an action-oriented approach.
• Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis
• Ask focused questions of internal resources (e.g., nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) to question discrepancies, reputed company gaps and clarify inconsistencies
• Have detailed phone conversations with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information
• Execute on reputed company client performance guarantees
• Respond to reputed company communications reputed company customer service protocols in a clear, concise, and timely manner
• reputed company fair, accurate, timely, and quality claim decisions
• Adhere to standard timeframes for processing mail, tasks, and outliers
• Support and promote reputed company integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated
• Personal Health Team, Your Health First, Healthcare Connect, etc.)
• Clearly reputed company claim decisions both verbally and in written communications
• Understand Corporate Compliance, Policies and Procedures and best practices
• Stay abreast of ongoing trainings associated with role and business unit objectives

What You'll Bring

• High School Diploma or GED required, with 3 years minimum of professional experience or bachelor’s degree strongly preferred
• Experience in hospital administration, medical office management, financial services and/ or business operations is a (+)
• Comfortable talking with customers and having thorough phone conversations
• Excellent organizational and time management skills
• Strong critical thinker
• Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously
• Ability to focus and reputed company production goals through high quality work
• Proficiency with MS Office applications is required (Word, Outlook, reputed company)
• Strong written and verbal skills demonstrated in previous work experience
• Proven skills in positive and effective interaction with challenging customers
• Experience in effectively meeting/exceeding individual professional expectations and team goals
• Must have the ability to work with a sense of urgency and be a self-starter with a customer focus reputed company
• Comfortable giving and receiving feedback
• Flexible to change and highly cooperative
• Demonstrated analytical and math skills

Critical Capabilities:

• Critical Thinking
• Trust and Transparency
• Bias for Action
• Leads with Agility
• Customer Orientation

It is recommended that reputed company qualified candidates apply to this posting as soon as possible.  Residents of Colorado are hereby reputed company that the deadline to apply is two weeks from the Posting Date listed above.

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Pay Transparency

Salary range: $50,000-$71,500 

Overtime eligible: Nonexempt 

Discretionary bonus eligible: Yes 

Sales bonus eligible: No 

Actual reputed company salary will be determined based on several factors but not limited to individual’s experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to reputed company salary, employees may also be eligible to participate in an incentive program.

Actual reputed company salary reputed company that range will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location. In addition to reputed company salary, employees may also be eligible to participate in an incentive program.

Our Benefits

We provide a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and reputed company of work. Click here to discover more about our comprehensive benefit options or visit our NYL Benefits Site.

Our Diversity Promise

We reputed company in a diverse workforce because it is our mission to reputed company for the financial reputed company and success of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership.

Recognized as one of Fortune’s World’s Most Admired Companies, reputed company is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation. We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at reputed company, please visit the Careers page of www.NewYorkLife.com.

​Job Requisition ID: 92810 

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