At The Standard, you’ll join a team focused on putting our customers first.
Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.
We offer a caring culture where you can make a real difference, every day.
Ready to reach your highest potential? Let’s work together.
Functional Job Summary:
Secure and analyze claim information to make and approve disability decisions and/or payments on disability and/or state disability insurance claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and management of lower complexity and/or lower liability claims; provide responsive and empathetic customer service to claimants, policyowners, and others.
Principal Duties & Responsibilities:
45% – Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for and entitlement to disability benefits for lower risk disability claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes and service expectations. Make and communicate disability decisions for new, continuing and maintenance claims. Issue correct benefits.
30% – Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide responsive and empathetic customer service. Ensure that each claimant’s ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and so that claims are managed to the correct payment duration.
20% – Provide accurate and appropriate claim information to claimants, policyholders and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.
5% – Ensure the company’s financial liability is accurately established by identifying all applicable deductible income and maintaining accurate claim payment and system data.
Other duties as assigned.
Knowledge, Skills, and Abilities:
Attention to detail and accuracy.
Express ideas clearly in written and verbal form.
Prioritize tasks to meet multiple and changing deadlines.
Job Specifications:
Preferred education: Associate degree
Required experience: Two years of demonstrated progressively responsible experience in disability benefits administration or the equivalent combination of education and/or relevant experience.
Location:
Employees in this role are fully remote and are responsible for maintaining their office setup at home to include private, professional, and safe working conditions.
Travel Requirements:
Occasional travel (such as conferences or team building) may be required.
Physical Requirements: n/a
Please note – the salary range for this role is listed below. In addition to salary, our package includes incentive plan participation and comprehensive benefits including medical, dental, vision and retirement benefits, as well as an initial PTO accrual of 164 hours per year. Employees also receive 11 paid holidays and 2 wellness days per year.
Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.
Salary Range:
20.07 – 27.88
Positions will be posted for at least 5 days from original posting date.
