Short Term Managed Disability Analyst - Experienced
Company Name:
Assurant
Short Term Managed Disability Analyst - Experienced-37397
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Description
Disability RMS is the nation's leading provider of turnkey disability risk management products and services, with more than $475 million of disability premium under management. Located in Westbrook, Maine, Disability RMS has more than 300 employees with the specialized product knowledge and service skills required to succeed in today's complex risk protection market. Disability RMS holds the distinction of twice being named the Best Large Company to Work for in Maine, an accolade awarded by the Best Companies Group, in partnership with the Maine Department of Labor.
If you have experience as an STD, LTD or Life Claims analyst, this may be the opportunity for you!
Under general supervision, the Short-term Disability (STD) Managed Disability Analyst conducts the review and investigation, liability determination, and management of disability claims, (as well as Life Waiver of Premium if applicable). The STD Managed Disability Analyst acts independently and autonomously managing the claim by conducting a thorough review and investigation, determining what additional resources are appropriate to be utilized, and determining the initial and ongoing liability.
ESSENTIAL DUTIES AND
Responsibilities:
Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim
Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line
Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner
Conducts in-depth pre-existing condition or contestable investigations if applicable
Calculates benefit payments, which may include partial disability benefits, integration with other income sources, survivor benefits, residual disability benefits, cost of living adjustments, etc.
Develops and maintains on-line claim data (and paper file if applicable)
Documents and communicates claim decisions
Coordinates return to work, working with vocational rehabilitation as necessary
As warranted, guides the claims management activities of the insurance company clients'' claims analysts on co-managed claims
Obtains/maintains TPA licensing and required credit hours
Participates in in-service and training opportunities as required
Additional Responsibilities
Participates in industry or client meetings
Other duties and responsibilities as requested
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Qualifications
Minimum 2 years previous related work experience (i.e., STD, LTD or Life products)
Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy
Solid analytical, critical thinking, problem solving skills and decision-making skills
Ability to interpret and communicate disability contract language
Excellent verbal communication skills, with the ability to be both pleasant and professional
Strong written communication skills
Solid mathematical skills
Ability to work well independently and in a team environment
Strong interpersonal and customer service skills
Ability to initiate and prioritize regular work duties and projects
Detail oriented, organized, the ability to multi-task, and strong time management skills
Strong computer skills, proficient in a PC environment and MS Word, Excel, and email systems
Ability to work professionally and effectively with co-workers, clients, claimants, vendors and others with whom DRMS does business
We offer comprehensive benefits to full time and part time employees including medical, dental, STD, LTD and life insurance, 401k with profit sharing, generous paid time off and much more.
Disability RMS hereby reaffirms its commitment to the principle of Equal Employment Opportunity in its personnel policies and practices. Disability RMS provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, gender expression, national origin, age, disability, or status as a disabled veteran, Vietnam-era veteran, or other protected veteran in accordance with applicable laws and with the requirements and objectives set forth in the Executive Orders of the President of the United States. This policy applies to all terms and conditions of employment including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To learn more about our current opportunities and apply online, please /
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Job: Claims Professional
Primary Location: ME-Westbrook
Schedule: Full-time
Work Type: Office
Job Type: Standard
Travel: No
Req ID: 37397Estimated Salary: $20 to $28 per hour based on qualifications.
Assurant
Short Term Managed Disability Analyst - Experienced-37397
##
Description
Disability RMS is the nation's leading provider of turnkey disability risk management products and services, with more than $475 million of disability premium under management. Located in Westbrook, Maine, Disability RMS has more than 300 employees with the specialized product knowledge and service skills required to succeed in today's complex risk protection market. Disability RMS holds the distinction of twice being named the Best Large Company to Work for in Maine, an accolade awarded by the Best Companies Group, in partnership with the Maine Department of Labor.
If you have experience as an STD, LTD or Life Claims analyst, this may be the opportunity for you!
Under general supervision, the Short-term Disability (STD) Managed Disability Analyst conducts the review and investigation, liability determination, and management of disability claims, (as well as Life Waiver of Premium if applicable). The STD Managed Disability Analyst acts independently and autonomously managing the claim by conducting a thorough review and investigation, determining what additional resources are appropriate to be utilized, and determining the initial and ongoing liability.
ESSENTIAL DUTIES AND
Responsibilities:
Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim
Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line
Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner
Conducts in-depth pre-existing condition or contestable investigations if applicable
Calculates benefit payments, which may include partial disability benefits, integration with other income sources, survivor benefits, residual disability benefits, cost of living adjustments, etc.
Develops and maintains on-line claim data (and paper file if applicable)
Documents and communicates claim decisions
Coordinates return to work, working with vocational rehabilitation as necessary
As warranted, guides the claims management activities of the insurance company clients'' claims analysts on co-managed claims
Obtains/maintains TPA licensing and required credit hours
Participates in in-service and training opportunities as required
Additional Responsibilities
Participates in industry or client meetings
Other duties and responsibilities as requested
##
Qualifications
Minimum 2 years previous related work experience (i.e., STD, LTD or Life products)
Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy
Solid analytical, critical thinking, problem solving skills and decision-making skills
Ability to interpret and communicate disability contract language
Excellent verbal communication skills, with the ability to be both pleasant and professional
Strong written communication skills
Solid mathematical skills
Ability to work well independently and in a team environment
Strong interpersonal and customer service skills
Ability to initiate and prioritize regular work duties and projects
Detail oriented, organized, the ability to multi-task, and strong time management skills
Strong computer skills, proficient in a PC environment and MS Word, Excel, and email systems
Ability to work professionally and effectively with co-workers, clients, claimants, vendors and others with whom DRMS does business
We offer comprehensive benefits to full time and part time employees including medical, dental, STD, LTD and life insurance, 401k with profit sharing, generous paid time off and much more.
Disability RMS hereby reaffirms its commitment to the principle of Equal Employment Opportunity in its personnel policies and practices. Disability RMS provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, gender expression, national origin, age, disability, or status as a disabled veteran, Vietnam-era veteran, or other protected veteran in accordance with applicable laws and with the requirements and objectives set forth in the Executive Orders of the President of the United States. This policy applies to all terms and conditions of employment including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To learn more about our current opportunities and apply online, please /
##
Job: Claims Professional
Primary Location: ME-Westbrook
Schedule: Full-time
Work Type: Office
Job Type: Standard
Travel: No
Req ID: 37397Estimated Salary: $20 to $28 per hour based on qualifications.
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