Disability Insurance Claims Analyst

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

📋 Description

• Assess the eligibility of disability insurance claims by analyzing medical, occupational, and financial data.

• Determine any additional information required to evaluate claims effectively.

• Utilize policy language, analytical reasoning, and judgment to ascertain eligibility, calculate benefits, and conclude claim outcomes.

• Engage in communication with claimants, representatives, employers, field partners, and internal stakeholders.

• Articulate complex claim information in a clear, professional, and empathetic manner.

• Manage sensitive situations with discretion, patience, and respect.

• Ensure accurate claim documentation is maintained throughout the entire claim lifecycle.

• Record activities, decisions, calculations, and communications diligently.

• Compose correspondence related to claims, including requests, updates, and resolutions.

• Oversee a dynamic caseload across various stages of claims processing.

• Prioritize tasks while adhering to service standards and deadlines.

• Collaborate with medical, financial, legal, technical, leadership, and field resources.

• Navigate through ambiguous and complex scenarios effectively.

• Foster team success through collaboration and knowledge sharing.

• Actively seek feedback and coaching while enhancing claim management skills.

⛳️ Requirements

• A bachelor's degree is preferred, or an equivalent mix of education and professional experience.

• Previous experience in disability insurance claims is advantageous but not mandatory.

• Strong analytical, critical thinking, and problem-solving skills are essential.

• Ability to organize information, evaluate risks, and make informed decisions.

• Exceptional written and verbal communication abilities.

• A strong customer service mindset with the capacity to manage sensitive discussions with professionalism and empathy.

• Capability to handle confidential information with care.

• Excellent organizational and prioritization skills, allowing for the management of multiple responsibilities simultaneously.

• Self-driven and effective in a production-oriented environment.

• Comfortable making independent decisions while knowing when to seek assistance.

• Adaptable, resilient, and dedicated to ongoing learning and improvement.

• Proficient in Microsoft Office and various business technology platforms, including document management systems, communication tools, and virtual collaboration solutions.

🏝️ Benefits

• Flexible remote work arrangement.

• Virtual instructor-led training sessions.

• 3 to 4 months of comprehensive classroom training.

• On-the-job mentorship and continuous support.

• Structured coaching and performance evaluation.

• Opportunities for professional development and continuous learning.