Disability Case Manager – Temporary

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

📋 Description

• Manage and oversee assigned Group Disability claims through effective case administration.

• Adhere to plan provisions, along with state and federal regulations, and established procedures.

• Engage in proactive outreach to claimants, departmental managers, healthcare providers, HR, Payroll, and other relevant parties.

• Communicate the status and outcomes of claims through both telephone and written correspondence.

• Gather information, evaluate claims, and make preliminary determinations on claims.

• Prioritize and assess new claims to ensure departmental productivity goals are met.

• Investigate and analyze claim data to ascertain coverage and benefit eligibility.

• Conduct investigations related to pre-existing conditions and prepare adverse determination letters when necessary.

• Evaluate disability by comparing an individual's functionality to job requirements.

• Initiate claims for initial benefit approval utilizing physician statements and medical documentation.

• Adhere to claim management protocols and identify opportunities for return-to-work and job accommodations.

• Utilize claim management tools, including MDA (Medical Disability Advisor) and other disability guidelines.

• Evaluate additional sources of income and apply appropriate offsets.

• Reassess benefits to identify underpayments or overpayments.

• Aim to assist claimants in returning to active work status.

• Collaborate with STD, LTD, and Risk Management resources.

⛳️ Requirements

• Strong independent problem-solving and decision-making skills.

• Ability to clearly communicate claim decisions and contract language both verbally and in writing.

• Proficient in mathematical calculations, multitasking, and analytical thinking.

• A 4-year college degree or equivalent work/educational experience.

• Minimum of 2 years experience in disability claim management, or other relevant experience in Group insurance.

• Familiarity with regulatory and compliance standards.

• Authorized to work in the employing country without the need for current or future visa sponsorship.

• Successful completion of a background check, if required.

🏝️ Benefits

• Health, dental, and vision coverage starting from Day One.

• Wellbeing programs available.

• Retirement plans with matching contributions.

• Generous time off policies.

• Parental leave benefits.

• Opportunities for continuing education.

• Career advancement opportunities.

• Flexible working arrangements when possible.

• Competitive total rewards package.

• Ongoing education and training opportunities.

• Occasional travel to physical office locations may be necessary.