Short-Term Disability Case Manager
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Job Description
Short-Term Disability Case Manager ensuring timely and accurate claims decisions for Instant Teams' remote workforce. Responsible for analyzing claims and maintaining compliance with operational standards.
Responsibilities:
- Claim Adjudication and Decision-Making: Render timely and accurate decisions on new and ongoing STD and AM claims
- Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information
- Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently
- Maintain the confidence to make claim decisions independently
- Case Management and Compliance: Document the claims system comprehensively and accurately
- Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes
- Ensure full compliance with regulatory requirements and operational standards
- Meet or exceed all established claims team operational metrics
- Customer and Partner Engagement: Maintain a superior level of genuine caring and empathetic customer service in all interactions
- Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs
- Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale
Requirements:
- High School Diploma (Bachelor's Degree preferred)
- 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience
- Experience working with integrated claims (short-term, FMLA, etc.)
- Preferred demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
- Demonstrated math proficiency in calculating and processing various employee compensation components (hourly wages, salaries, bonuses, time off)
- 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
- Ability to manage stress, multitask, prioritize, and work effectively under pressure
- High level of attention to detail
- Confidence to make claim decisions
- Results-driven orientation
- High attention to departmental/company procedures/practices
Benefits:
- This position is 100% remote and provides equipment
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