Pay Rate: $50/ per hour
Summary:
• Work Mode: 100% Fully Remote
• 20 hours per week
• Availability needed during core workdays and hours; Monday Friday, 7:00AM 5:00PM local time
Responsibilities:
• Effectively manage an assigned caseload of moderately complex claims with some level of oversight.
• Provide timely, balanced, and accurate claims reviews, documentation, and recommended decisions.
• Communicate proactively with claimants and/or their representatives, demonstrating empathy and active listening.
• Compile file documentation and correspondence requiring extensive policy and factual detail.
• Collaborate with external and internal resources to gather necessary data for thorough decisions.
• Calculate monthly benefits due after the elimination period, including Company, Social Security Offsets, and Rehab Return to Work benefits.
• Provide timely and detailed written communication during the claim evaluation process.
• Address and resolve escalated customer complaints in a timely and thorough manner.
Requirements:
• 3 years of LTD/IDI Insurance Claims experience
• Experience with independent judgment and decision making
• Demonstrated use of critical thinking and analysis
• Creative problem-solving abilities
• Excellent interpersonal and communication skills
• Excellent customer service skills
• Organizational and time management skills
• Bachelor s degree
Preferred Skills:
• Demonstrated conceptual thinking, risk management, and ability to handle complex situations effectively