STD Case Manager
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
- Familiarity with disability claim management concepts
- Superior customer service skills with a strong commitment to empathy.
- Ability to work independently in a remote environment while remaining engaged with team.
- Good understanding of medical terminology/pathology/anatomy
- Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information
- Moderate skills with Microsoft Office and other software application
- Stress tolerance
- Strong financial acumen
- Ability to multi-task and prioritize in a fast-paced environment
- Have a high level of attention to detail
- Work well under pressure
- Confidence to make claim decisions
- Results-driven
- High attention to departmental/company procedures/practices
- High School Diploma or equivalent
- 0-2 years of job-related claims experience
- Bachelor's Degree In healthcare or a related field
- Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
- Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimant's and employer's trust and confidence; anticipates customer’s needs and takes action as appropriate.
- Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions while reviewing the claim holistically with a strong focus in risk management; reaches out to obtain relevant clinical, vocational, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and renders the claim decision as quickly as possible
- Documents the claims system in an accurate and comprehensive manner; prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome; remains in full compliance with regulatory requirements; demonstrates an above average level of proficiency in product and claims administration techniques; remains fully compliant with operational standards; meets or exceeds claims team operational metrics
- Works with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence
- Performs other related duties as required
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