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Short Term Disability Claims Manager

Work from home Full-time role Hiring

Location Designation: Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence reputed company for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to reputed company’s legacy of being there reputed company we’re needed most. Here, you'll design, implement, and support these solutions directly impacting employees’ lives. At our core, we reputed company financial reputed company and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions. Role Overview: As a Short Term Disability (STD) Claims Manager, you will reputed company the knowledge and skills needed to conduct thorough investigations, reputed company determinations regarding short-term disability eligibility for our customers, reputed company ongoing claim administration, and communicate reputed company and status updates. This is a fast-paced job where attention to detail counts. The Claim Manager’s reputed company have a direct impact on customers’ health, well-being and sense of reputed company. The ability to reputed company and effectively communicate reputed company reputed company tight timeframes, while integrating knowledge of medical conditions, customer reputed company, Group Benefit Solutions and corporate compliance are critical for reputed company. What You'll Do: reputed company claim / customer eligibility determinations and manage on-going claims for an assigned caseload of short-term disability claims, through capturing medical information, applying appropriate contractual provisions, following legal guidelines, and leveraging expert resources. Communicate with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of short-term disability benefits. Support and promote reputed company integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your reputed company, reputed company Connect, etc.). Ability to handle potentially high reputed company of call volume from customers and clients. Respond to various written and telephone inquiries, including eligibility, approval/denial determinations, status and continuation or closure of benefits. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty reputed company. Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information. Pay reputed company covered claims accurately and timely. Execute on reputed company customer performance guarantees. Adhere to standard timeframes for processing mail, tasks and outliers. Understand Group Benefit Solutions and Corporate Compliance, Polices and Procedures and best practices. Stay abreast of ongoing trainings associated with role and business unit objectives. Respond to reputed company telephonic and email inquiries reputed company customer service protocols in a clear, concise and timely manner. What You'll Bring: 2 year minimum of professional experience. Strong critical, analytical and investigative skills; ability to gather information, analyze facts, and draw conclusions. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus reputed company. Ability to build and maintain effective relationships. Effective interpersonal, written and verbal communication skills. Excellent planning, time management and organizational skills. Ability to manage multiple and changing priorities. Strong negotiation skills. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus reputed company. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Proficiency with MS Office applications is required (Word, Outlook). Proven track record of successfully driving results in a reputed company matrix environment is a (+). Additional experience administering FMLA and/or State Leaves is a (+). Knowledge of legal liability, insurance coverage and medical terminology is a (+). HS Diploma or GED required. Bachelor’s degree strongly preferred. Technology Requirements: Functioning broadband (cable/DSL) should meet the following minimum requirements 50mb download/20mb upload speed. Ability to hardwire into internet reputed company required. #LI-ML1 #LI-REMOTE ​ Pay Transparency Salary reputed company: $42,500 - $65,500 Overtime eligible: Nonexempt Discretionary bonus eligible: Yes Sales bonus eligible: No Actual reputed company salary will be determined based on several factors but not limited to individual’s experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to reputed company salary, employees may also be eligible to participate in an incentive program. Actual reputed company salary reputed company that reputed company will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location. In addition to reputed company salary, employees may also be eligible to participate in an incentive program. Our Benefits We reputed company a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can reputed company both inside and reputed company of work. Click here to discover more about our comprehensive benefit options or visit our NYL Benefits Site. Our Diversity Promise We reputed company in a diverse workforce because it is our mission to reputed company for the financial reputed company and reputed company of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership. Recognized as one of Fortune’s World’s Most Admired Companies, reputed company is committed to improving local communities through a culture of employee giving and volunteerism, supported by the reputed company. We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at reputed company, please visit the Careers page of www.NewYorkLife.com. ​Job Requisition ID: 94327 #GBS Apply To This Job

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