
Senior Disability Claims Advisor
3 days ago
Key Responsibilities:
- Handle short-term disability claims from receipt to closure, ensuring compliance with company policies and regulatory requirements.
- Conduct thorough investigations into claimant information, medical records, and other relevant documentation to determine eligibility and entitlement.
- Analyze complex medical data and reports to make informed decisions regarding claim approvals or denials.
- Maintain accurate and detailed records of claim activity, including correspondence, phone calls, and meetings.
- Communicate effectively with claimants, healthcare providers, and other stakeholders to resolve issues and provide updates on claim status.
- Demonstrate a strong understanding of insurance principles, medical terminology, and regulatory requirements to ensure accurate and compliant decision-making.
- Collaborate with internal teams, including underwriting, operations, and customer service, to facilitate efficient claim resolution.
- Stay up-to-date with industry developments, changes in regulations, and new technologies to enhance knowledge and skills.
- Participate in training and development programs to improve performance and contribute to team goals.
Requirements:
- Bachelor's degree in a related field (e.g., Business Administration, Finance, Health Sciences).
- Minimum 3-5 years of experience in short-term disability claims, insurance, or a related field.
- Strong analytical and problem-solving skills, with the ability to interpret complex medical data and reports.
- Excellent communication and interpersonal skills, with the ability to build rapport with claimants, healthcare providers, and internal stakeholders.
- Proficiency in MS Office Suite, particularly Excel, Word, and Outlook.
- Ability to work in a fast-paced environment, manage multiple priorities, and meet deadlines.
- Familiarity with insurance industry software and systems.
Benefits:
- A competitive salary and bonus structure.
- A comprehensive benefits package, including health, dental, and vision coverage.
- A generous retirement plan, including matching contributions.
- Opportunities for career advancement and professional growth.
- A dynamic and supportive work environment.
About Us:We are a leading provider of insurance solutions, dedicated to delivering exceptional service and value to our clients and customers. Our team is passionate about making a difference in the lives of those we serve, and we are committed to fostering a culture of excellence, inclusivity, and respect.
How to Apply:If you are a motivated and results-driven professional looking for a challenging and rewarding opportunity, please submit your application, including your resume and a cover letter outlining your qualifications and experience.
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