[Hiring] LTD Claims Case Manager @Guardian Life Insurance

Role Description

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.

You will:

• Utilize problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions.
• Provide superior customer service to all internal and external customers.
• Partner with coworkers to broaden and enhance their knowledge of complex claim handling.
• Administer claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives).
• Determine integrated income to ensure appropriate financial risk and accurate payments are made.
• Ensure all plan provisions are met through the duration of the claim.
• Consult with legal, investigative resources, and financial specialists.
• A selected incumbent may be assigned to the Stable and Mature block as well.

Qualifications

• Four-year college degree preferred or equivalent work/education experience.
• Regulatory and Compliance experience a plus.
• 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.
• 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.

Requirements

• 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.

Benefits

• Support and flexibility to achieve your professional and personal goals.
• Skill-building, leadership development, and philanthropic opportunities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.