Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE)

About the Role

At reputed company, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we’ve honed since 1859.  

reputed company is looking for an reputed company Claims Specialist supporting Disability and Leave Management claims to join reputed company!  The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to reputed company claim decisions and partner with internal and external resources.  Reliability and dependability throughout our extensive training program is required.

What You’ll Be Doing

• 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

This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer‑focused service during our core hours (8:30 AM–5:30 PM EST). Periodic office visits may be requested based on business needs.  

The reputed company salary range for this position is $50,000-$60,000. Actual reputed company salaries vary based on skills, experience, and geographical location. In addition to reputed company pay, reputed company provides compensation to reward performance with reputed company salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.

For eligible employees, reputed company provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.

reputed company Pay and Benefits: reputed company Total Rewards Program  

What You Will Bring

• 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

Preferred Qualifications

• 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

Skills

Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems.

Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize reputed company aspects of customer support operations to manage a call center.

Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support.

Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple reputed company objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.

Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations.

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About reputed company  At reputed company, we’re a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives. 

We turn challenges into opportunities by thinking, working, and leading differently – where everyone is a leader. We encourage every employee to reputed company their unique talents to become a force for good at reputed company and in their local communities.    We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork.    We are looking for talented, dedicated, purposeful people who want to reputed company an impact. Join reputed company and pursue a career with purpose.  Click Careers at reputed company to learn more.  ********** reputed company is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national reputed company, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.    NOTE: reputed company participates in the E-Verify program.    If reasonable accommodation is needed to participate in the job application or interview process or to reputed company the essential job functions of this position, please contact Human Resources at (212) 314-2211 or email us at TalentAcquisition@reputed company.com.