LTD Claims Technical Consultant

Job Description:

• Provide Technical Support to Claim Teams including Claim Auth reviews, serve as SME on complex issues
• Drive improvements in initial claim decision, Claim Management Accuracy and CID turnaround times
• Leverage automation and/or alternate sourcing options to handle additional tasks
• Collaborate with all lines of business to promote best practices to improve efficiency
• Support at least one interdepartmental collaboration team to help drive positive outcomes, supporting each functional area and creating organizational awareness
• Leverage data analytics to improve claim management outcomes

Requirements:

• 3+ years LTD claims handling experience
• Prior DI experience or equivalent
• Minimum 1 year experience providing feedback to front line staff and front-line supervisors
• Excellent verbal and written communication skills
• Strong analytical, organizational, time management, and problem-solving skills
• Ability to prioritize and manage multiple tasks in a fast-paced environment
• Proven training skills on an individual and team basis
• Ability to mentor/coach staff and peers to ensure proper claim adjudication and contribute to staff development
• Ability to work independently and within a team
• Demonstrated ability to identify and manage risk
• Self-motivated
• Extensive knowledge of Group Long Term disability products, administration, and claims procedures
• Strong knowledge of PC Applications (including Microsoft Office, databases, imaging systems, etc.)
• Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management
• Excellent PC skills with knowledge of MS Word/Excel/PPT

Benefits:

• Support and flexibility to achieve professional and personal goals
• Skill-building opportunities
• Leadership development
• Philanthropic opportunities
• Diverse colleagues with high ethical standards