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Long Term Disability Claims Case Manager I
Long Term Disability Claims Case Manager INorth Carolina Staffing • Raleigh, NC, US
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Long Term Disability Claims Case Manager I

Long Term Disability Claims Case Manager I

North Carolina Staffing • Raleigh, NC, US
11 days ago
Job type
  • Full-time
Job description

Long Term Disability Claims Case Manager

The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, as well as the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX; Holmdel, NJ or remote.

This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults with legal, investigative resources, and financial specialists. A selected incumbent may be assigned to the Stable and Mature block as well.

You will :

  • Have a 4 year college degree preferred or equivalent work / education experience.
  • Have regulatory and compliance experience a plus.

Functional skills :

  • Excellent written and verbal communication skills.
  • Ability to exercise independent & sound judgment in decision making.
  • Ability to analyze evidence for discrepancies.
  • Ability to conduct research using multiple techniques.
  • Excellent time management & organizational skills.
  • Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations.
  • Self-motivated & able to work independently.
  • Ability to work collaboratively with multiple professional disciplines and with diverse populations.
  • Basic computer skills & knowledge, including Microsoft office.
  • Understanding of medical terminology and medical conditions helpful.
  • Leadership behaviors :

  • Continuously strives to provide superior products and customer service.
  • Expresses oneself in an open and honest manner.
  • Demonstrates self-awareness and embraces feedback.
  • Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources.
  • Perform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistance.
  • Partner with the Short Term Disability team on large group claims for early interventions when claims are identified as having potential to transition to Long Term Disability in order to reduce potential risk exposure.
  • Salary Range : $41,880.00 - $62,820.00

    Our Promise : At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

    Inspire Well-Being : As part of Guardians Purpose to inspire well-being we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com / careers / corporate / benefits. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

    Equal Employment Opportunity : Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

    Accommodations : Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and / or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com.

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    Case Manager • Raleigh, NC, US

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