Short-Term Disability Case Manager - Remote

Overview

Instant Teams is currently hiring a Short-Term Disability Case Manager! In this remote position, you will make timely, accurate, and customer-focused Short-Term Disability and/or Absence Management claim decisions and appeals.

In Short

• Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions; reaches out to obtain relevant clinical, vocational, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and renders the claim decision as quickly as possible
• Documents the claims system accurately and comprehensively; prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome; remains in full compliance with regulatory requirements; demonstrates an above-average level of proficiency in product and claims administration techniques; remains fully compliant with operational standards; meets or exceeds claims team operational metrics
• Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimant's and employer's trust and confidence; anticipates customers’ needs and takes action as appropriate
• Works with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence
• Performs other related duties as required

Requirements

• High School Diploma (Bachelor's Degree preferred)
• 1-2 years of job-related claims experience
  • Preferred demonstrated proficiency in product-specific areas of STD, LTD, or AM as well as federal and state regulations governing these products and services
• Familiarity with disability claim management concepts
• Good understanding of medical terminology/pathology/anatomy
• Articulate verbal and writing skills, decision-making, meeting deadlines, and working with confidential information
• Moderate skills with Microsoft Office and other software applications
• Customer service skills
• Stress tolerance
• Math skills
• Ability to multitask and prioritize
• Have a high level of attention to detail
• Work under pressure
• Confidence to make claim decisions
• Results-driven
• High attention to departmental/company procedures/practices

Benefits

• Equipment is provided.