Claims Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Carry out daily tasks to achieve key performance metrics, ensure accurate claim management, and deliver exceptional service.

• Analyze root causes, address issues, and create solutions to enhance performance and foster innovation.

• Offer technical assistance to claim teams, including reviews of claim authorizations.

• Act as a subject matter expert on intricate claims matters.

• Enhance initial claim decisions, improve Claim Management Accuracy, and optimize CID turnaround times.

• Utilize automation and alternative sourcing methods to manage additional responsibilities.

• Collaborate across all business lines to advocate for best practices and boost efficiency.

• Facilitate the timely and effective execution of workstream initiatives.

• Report directly to the Technical Manager, Claims.

⛳️ Requirements

• Exceptional verbal and written communication abilities.

• Strong analytical, organizational, time management, and problem-solving capabilities.

• Capacity to prioritize and handle multiple tasks in a dynamic environment.

• Proven experience in training both individuals and teams.

• Ability to mentor and guide staff and colleagues to ensure accurate claim adjudication and support staff growth.

• Competence to work autonomously as well as collaboratively within a team.

• Demonstrated skill in identifying and managing risks.

• Self-driven and motivated.

• Comprehensive knowledge of Group Long Term Disability products, administration, and claims processes.

• Proficient in PC applications, including Microsoft Office, databases, and imaging systems.

• Advanced understanding of the financial, medical, occupational, and investigative elements of disability claims management.

• Excellent PC skills, including proficiency in MS Word, Excel, and PowerPoint.

• Minimum of 3 years of experience in LTD claims handling, previous DI experience, or equivalent background required.

• At least 1 year of experience in providing feedback to front-line staff and supervisors.

• Legally authorized to work in the United States without the need for current or future employer sponsorship.

🏝️ Benefits

• Opportunities for skill enhancement.

• Leadership development initiatives.

• Philanthropic engagement opportunities.

• Modern, supportive, flexible, and inclusive benefits and resources.

• Benefits available for full-time eligible employees.

• Reasonable accommodations for qualified applicants and employees.