United States onlyThe STD/Absence Claims Case Manager I is responsible for administering and medically managing Short Term and Absence claims with specific diagnoses or leave types that tend to resolve quickly. The role involves working with employers, employees, and health care providers to ensure timely and appropriate disability claim decisions while providing superior customer service.
Requirements
- Effectively understand contract language and plan design for group disability
- Communicate claim status and decisions via telephone and in writing
- Proactively develop and execute an appropriate plan of action for pending and ongoing disability claims
- Investigate and analyze claim information in conjunction with contract provisions to determine coverage and benefit eligibility
- Determine if claimants meet the definition of disability as defined in the contract by reviewing occupational level and analyzing medical information
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-term Disability Insurance
- Long-term Disability Insurance
- Flexible Spending Account (FSA)
- Health Savings Account (HSA)
- Employee Assistance Program (EAP)
- Wellness Program
- Education Assistance Program
- Employee Stock Purchase Plan (ESPP)
CA and US only
