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Senior Individual Disability Claims Specialist (Remote)

Role overview

Qualifications

  • 5+ years insurance claim handling experience (Individual Disability Claims)
  • A college or university degree, or high school diploma with extensive prior relevant work experience
  • Demonstrated understanding of claim management techniques and critical thinking requiring analysis and/or investigation
  • Experience providing outstanding customer service

Responsibilities

  • Make timely and thoughtful decisions to resolve client issues
  • Analyze medical, financial, and other claim documents
  • Provide accurate claims decisions in a time sensitive environment while adhering to regulations
  • Work across business divisions including both internal and external partners

Key facts

Other skills

  • Critical Thinking
  • Problem Solving
  • Customer Service
  • Decision Making
  • Negotiation
  • Business Acumen
  • Non-Verbal Communication
  • Detail Oriented
  • Microsoft Office
  • Teamwork
  • Time Management

About the company

Guardian Life logo

Guardian Life

Financial Services

Who we are Guardian makes a difference in the lives of people when they need us most. With over 160 years of stability and fiscal integrity, we are a trusted resource to generations of families and business owners, inspiring well-being and helping build financial confidence. Today, we stand behind 29 million consumers, helping them prepare and plan for a bright future for themselves and their families. We help business owners care for their employees. And we help people recover and thrive in times of unexpected loss. As a modern mutual insurance company, we believe in driving value beyond dividends. We invest in our colleagues and are building a progressive, innovative and inclusive culture. We uplift individuals and communities through thoughtful social and environmental programs. What we stand for In 1860, a community of immigrants joined together to insure and protect their businesses and families. They were guided by powerful ideals that we’ve continued to stand behind and evolved throughout the years: we do the right thing, we believe people count, we courageously shape the future together, and we go above and beyond for the people we serve. Guardian employees embrace and live by these values every day. They remind us to put people at the heart of all we do so that we can help protect what matters most to you. Want to help bring these values to life? Join us for a rewarding career and the opportunity to shape the future. Disclosures: Financial information concerning Guardian as of December 31, 2022, on a statutory basis: Admitted assets = $76.0 billion; liabilities = $67.2 billion (including $55.0 billion of reserves); and surplus = $8.8 billion. Dividends are not guaranteed. They are declared annually by Guardian’s Board of Directors. Guardian® is a registered trademark of The Guardian Life Insurance Company of America. © Copyright 2023 The Guardian Life Insurance Company of America 2023-156184 Exp. 5/25

Company details

Company typeXLarge
IndustryFinancial Services
Company size5001 - 10000

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Job description

At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and consumers, we focus as a team to turn what's possible into a reality. We create experiences for you to grow and enrich your career and future as a Senior Individual Disability Claims Specialist. We believe in your aspirations for purpose, leadership, and achievement in your professional and personal lives.

Are you an experienced claims professional looking to advance your career? The next step is here with Guardian in the role of Senior Individual Disability Claims Specialist where you will use your creative mindset, persuasive writing, and investigative skills to dig deep resolving complex claim and policy matters, while partnering with other professionals offering nationwide travel opportunities representing Guardian with outstanding service putting our clients first. If you are ready to bring your experience, business acumen and innovative thinking, we will bring the support and state of the art resources to take your career to the next level. This is an opportunity to make an impact on the lives of our clients when they need it most, we are their Guardian!


You are a professional who has an internal drive to investigate using your critical thinking skills assessing policy matters and can manage competing priorities while meeting deadlines. You are passionate about growing your career and confident sharing ideas to continually improve both yourself and move the organization into the future.

In the role, you will

  • Be a decision maker.
  • Focus on solving complex problems, while making timely, but thoughtful decisions to resolve client issues.
  • Analyze medical, financial, and other claim documents.
  • Have opportunities to meet with our customers in person.
  • Provide accurate claims decisions in a time sensitive and fast- paced environment, while adhering to all state and department of insurance regulations.

Be a leader

  • Work across business divisions including both internal and external partners.
  • Be a resource for colleagues with less experience.
  • Work on department innovations.


You have

  • 5+ years insurance claim handling experience (Individual Disability Claims).
  • A college or university degree, or high school diploma with extensive prior relevant work experience Demonstrated understanding of claim management techniques and critical thinking requiring analysis and/or investigation.
  • Experience providing outstanding customer service.
  • Attention to detail with demonstrated written and verbal communication skills.
  • Demonstrated experience prioritizing competing priorities with deadlines.
  • Negotiating skills, solution strategies and ability to apply appropriate resources.
  • Solid understanding of Microsoft Office products, including Word, Excel, and Outlook.

Location
This position offers the opportunity to work remotely. While this position can be fully remote, the primary office location for this group is Pittsfield, MA. Occasional travel to meet business needs will be required.

Salary Range:

$80,610.00 - $132,435.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals.  Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefitsBenefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MyHR@glic.com. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.

Visa Sponsorship

Guardian is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant. you must be legally authorized to work in the United States, without the need for employer sponsorship.

Notice Regarding Guardian’s Use of Artificial Intelligence in Recruitment

 

As part of Guardian’s job application process, Guardian may use artificial intelligence tools (“AI Tools") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian’s jobs website (Careers at Guardian at https://www.guardianlife.com/careers). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.

 

Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian’s use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to MyHR@glic.com, making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian’s document retention policy, a copy of which you may request via MyHR@glic.com.

 

Additionally, at applicable times, Guardian will make public the most recent bias audit results for such AI tools, which may be found here

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