Senior Disability Claims Examiner – Virtual
Job Description:
- Provide top-tier customer service to employees of a large Group Insurance client at the start of their leave
- Manage approximately 95 Short-Term Disability (STD) claims
- Oversee complex claims involving co-morbidities, behavioral health issues, and self-reported symptoms
- Handle customer service calls for the assigned client
- Become familiar with the client's culture and product offerings to deliver exceptional service
- Identify opportunities to enhance the claimant experience
- Champion continuous process improvement within the Concierge Team
- Interact with the client's Leave team during quarterly virtual meetings
- Engage daily with the client's Benefits Business Partners
- Provide technical direction to other claims personnel as needed
- Leverage team resources to achieve goals
Requirements:
- 2–3 years of experience in Short-Term Disability (STD) required
- FMLA/State Leave experience preferred
- Proficient in proactive communication via phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls
- Energetic and customer-focused, with proven ability to maintain strong customer relationships
- Confident communicating with highly skilled and educated software-industry claimants, especially in challenging situations
- Excellent documentation skills for capturing telephone conversations and creating clear, concise claim plans
- Ability to understand and interpret complex and non-standard policy and plan provisions
- Ability to independently navigate ambiguous situations and adapt quickly
- Excellent organizational and time management skills
- Demonstrated analytical and math skills
- Strong teamwork skills and ability to leverage resources
- Internet service plan with at least 25 Mbps download speed and willingness to troubleshoot connectivity issues
- Ability to handle calls using a cell phone with unlimited data and minutes or a landline
- Quiet, distraction-free work area at home
- Preference for Pacific Time Zone business hours, or ability to work a later shift supporting West Coast customers
- Reliability and dependability throughout the extensive training program
Benefits:
- Market competitive base salaries
- Yearly bonus potential at every level
- Medical, dental, vision, life insurance, and disability insurance
- Paid Time Off (PTO)
- Parental and military leave
- 401(k) plan with company match (up to 4%)
- Company-funded pension plan
- Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
- Work/Life Resources supporting parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
- Education Benefit for approved traditional college enrollment and accredited certificate programs
- Employee Stock Purchase Plan: shares can be purchased at 85% of the lower of two prices
- Eligibility to participate in a discretionary annual incentive program
- Virtual work arrangement