2+ years of disability claims management experience (STD/Absence Management or LTD)
Prior STD and Family Medical Leave Act claims knowledge
Proficient with Microsoft Office software
Associate Degree or higher (preferred)
Requirements:
Supports associates with the management of STD claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws
Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her. Partners with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, his or her functional capacity and the prognosis for an increase in that capacity.
Applies all appropriate provisions of the disability contract to ensure that Client’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support return to work through a variety of programs and methodologies.
Job description
Max pay rate: $27/hr
Location: Remote Start date will be 11/03/2025.
Training duration will be 1-2 weeks, workers cannot take time off during that timeframe.
Hours information (Part-time):
1. What hours and schedule to expect for training: 9-3est with a 1-hour break, this is for 2 weeks.
2. What hours and schedule to expect post-training: starting with 20 hours with ability to increase to 30 hours. Hours can be completed anytime M-F 8-5 EST
3. How flexible the shifts will be and during what hours the workers will be able to work: Flexible, see above
Key experience and skills:
• 2 plus years of disability claims management experience (STD/Absence Management or LTD)
• Prior STD and Family Medical Leave Act claims knowledge
• Proficient with Microsoft office software
Key Responsibilities:
• Supports associates with the management of STD claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws
• Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her. Partners with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, his or her functional capacity and the prognosis for an increase in that capacity.
• Applies all appropriate provisions of the disability contract to ensure that Client’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support return to work through a variety of programs and methodologies.
Essential Business Experience and Key Behaviors, Required:
• Quickly grasps information and efficiently solves verbal challenges with strategic thinking
• Communicates complex verbal and written concepts with ease
• Pays close attention to details, and accounts for details that may be overlooked
• Professionally demonstrate empathy to others
• Provide original insights on familiar subjects
• Balances task work while adapting to change and exploring new innovative ideas
• Ability to prioritize and maintain quality
Key Competencies, Qualifications and Skills, Preferred:
• Associate Degree or higher - preferred
• 2 plus years of claims management experience
• Proficient with Microsoft office software
• Prior STD and Family Medical Leave Act claims knowledge
• Ability to work independently
• A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
• Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
• Ability to give and receive feedback to/from partners
• Basic knowledge of medical conditions, treatments, prognosis
• Critical-thinking skills, strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
• Prioritization skills. Ability to balance quantity and quality.
