Responsible for making accurate decisions on assigned claims through proactive case management
Consult with other team members and the Professional Resource Team to assist claimants with return to work efforts
Utilize problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions
Partner with coworkers to broaden and enhance their knowledge of complex claim handling
Administer claims within a variety of group sizes from small to large market
Determine integrated income to ensure appropriate financial risk and accurate payments are made
Ensure all plan provisions are met through the duration of the claim
Consult with legal, investigative resources, and financial specialists

Four-year college degree preferred or equivalent work/education experience
Regulatory and Compliance experience a plus
Excellent written and verbal communication skills
Ability to exercise independent & sound judgment in decision making
Ability to analyze evidence for discrepancies
Ability to conduct research using multiple techniques
Excellent time management & organizational skills
Self-motivated & able to work independently
Ability to work collaboratively with multiple professional disciplines and with diverse populations
Basic computer skills & knowledge, including Microsoft office
Understanding of medical terminology and medical conditions helpful

Long Term Disability Claims Case Manager

Key skills