Principal Duties and Responsibilities
Develop an understanding and working knowledge of disability products, policies and contracts.
Develop an understanding of the applicable contract/policy definitions of disability and relevant provisions, clauses, exclusions, riders and waivers as well as statutory requirements.
Become familiar with reference materials and tools regarding medical, vocational and disability issues
Develop an operating knowledge of the applicable disability claims system(s)
Develop basic medical and technical claims skills and an understanding of claim practices and procedures.
Develop skills, knowledge and awareness of tools & resources available to assist in developing effective RTW strategies on assigned claims.
Timely and accurate adjudication of assigned STD claims
Provide excellent customer service in accordance with our "Commitment of Service" and other organizational service standards.
Ensure a timely and well communicated transfer process when transitioning integrated claims from STD to LTD, ensuring a coordinated and continuous claims experience to claimants.
May perform other duties as assigned.
4-year college degree preferred or equivalent work experience.
Able to utilize claim investigative techniques to identify and evaluate claim information in a fair and objective manner.
Detail oriented; able to analyze and research contract information
Able to hold fast to fair and appropriate decisions even in the face of disagreement while being open to reconsider previous decisions based on new information.
Demonstrated ability to make balanced decisions with the highest degree of integrity and fairness.
Able to influence others in order to reach proper and constructive conclusion.
PC skills are essential; ability to operate effectively in an imaged environment.
Able to work with others in a highly collaborative team environment.
Demonstrated ability to multitask and balance goals and priorities. Able to work effectively in a high volume environment.
Excellent customer service skills.
Able to communicate effectively both verbally and in writing.
Problem solving skills are essential.
Basic math skills are essential.
Adaptable to change.
Operating knowledge of claim payment system(s) a plus.
Medical background and/or Disability claim experience preferred.
Meets the standards for this position, as defined in the Talent Management framework.
Unum - 17 months ago