Responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims
Provide excellent customer service and interact on a regular basis with employees, employers, health care providers and other specialized internal resources
Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life
Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge
Produce objective, clear documentation and technical rationale for all claim determinations
Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation
Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business

4-year degree preferred or equivalent work experience
Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience
Medical background, voluntary benefits claims and/or disability management experience preferred
Possess strong analytical, critical thinking, and problem-solving skills
Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management.
Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process
Strong service and quality orientation.
Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness.
Excellent communication skills, written and verbal

Associate VB Claims Specialist

Key skills