Senior Disability Claims Examiner – Virtual

This is a fully remote position, open to applicants in Alabama, +4 more states.

📋 Description

• Deliver exceptional customer service to employees of a major Group Insurance client at the onset of their leave.

• Manage around 95 Short-Term Disability (STD) claims.

• Supervise intricate claims that involve co-morbidities, behavioral health concerns, and self-reported symptoms.

• Address customer service inquiries for the designated client.

• Familiarize oneself with the client's culture and product offerings to provide outstanding service.

• Recognize opportunities to improve the claimant experience.

• Advocate for ongoing process enhancements within the Concierge Team.

• Collaborate with the client's Leave team during virtual quarterly meetings.

• Engage daily with the client's Benefits Business Partners.

• Offer technical guidance to other claims staff as necessary.

• Utilize team resources to meet objectives.

⛳️ Requirements

• 2–3 years of experience in Short-Term Disability (STD) is mandatory.

• Experience with FMLA/State Leave is preferred.

• Skilled in proactive communication through phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls.

• Energetic and customer-oriented, with a proven track record of maintaining robust customer relationships.

• Confident in communicating with highly skilled and educated claimants from the software industry, particularly in difficult situations.

• Excellent documentation abilities for recording telephone conversations and formulating clear, concise claim plans.

• Capable of understanding and interpreting complex and non-standard policy and plan provisions.

• Able to independently navigate ambiguous scenarios and adapt swiftly.

• Outstanding organizational and time management skills.

• Proven analytical and mathematical skills.

• Strong teamwork abilities and capacity to leverage resources effectively.

• Internet service plan with a minimum download speed of 25 Mbps and readiness to troubleshoot connectivity issues.

• Capability to handle calls using a cell phone with unlimited data and minutes or a landline.

• A quiet, distraction-free workspace at home.

• Preference for working Pacific Time Zone business hours, or availability to work later shifts to support West Coast customers.

• Reliability and dependability throughout an extensive training program.

🏝️ Benefits

• Competitive base salaries in the market.

• Annual bonus potential at every level.

• Comprehensive medical, dental, vision, life, and disability insurance.

• Paid Time Off (PTO).

• Parental and military leave.

• 401(k) plan with company matching (up to 4%).

• Company-funded pension plan.

• Wellness Programs offering up to $1,600 annually for reimbursement of items purchased to support personal wellbeing needs.

• Work/Life Resources to assist with parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.

• Education Benefits for approved traditional college enrollment and accredited certificate programs.

• Employee Stock Purchase Plan: shares can be bought at 85% of the lower of two prices.

• Eligibility to join a discretionary annual incentive program.

• Virtual work arrangement.