Legal Assistant – Judgement
McCalla Raymer Leibert Pierce, LLC
Short-Term Disability Case Manager
Instant Teams
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $25 per hour
Job Level
Junior
About the role
- Makes timely, accurate, and customer-focused Short-Term Disability and/or Absence Management claim decisions and appeals
- Reaches out to obtain relevant clinical, vocational, employer, financial, and other information
- Compares information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents, and renders claim decisions
- Documents the claims system accurately and comprehensively
- Prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome
- Remains in full compliance with regulatory requirements and operational standards
- Demonstrates proficiency in product and claims administration techniques and meets/exceeds claims team operational metrics
- Maintains genuine caring and empathetic customer service throughout all interactions to earn claimant and employer trust
- Works with internal partners to support flexibility, collaboration, and a positive work environment
- Performs other related duties as required
Requirements
- High School Diploma (Bachelor's Degree preferred)
- 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience
- Preferred demonstrated proficiency in product-specific areas of STD, LTD, ADA, or AM, as well as federal and state regulations governing these products and services
- Familiarity with disability claim management concepts
- Good understanding of medical terminology/pathology/anatomy
- Articulate verbal and writing skills
- Decision-making skills and ability to meet deadlines
- Experience working with confidential information
- Moderate skills with Microsoft Office and other software applications
- Customer service skills and stress tolerance
- Math skills
- Ability to multitask and prioritize
- High level of attention to detail
- Ability to work under pressure
- Confidence to make claim decisions
- Results-driven with high attention to departmental/company procedures/practices
- Ability to verify identity and eligibility to work in the United States and complete employment eligibility verification upon hire
- Quiet background, high-speed internet, and a dedicated space to perform work (if hired)
- Availability for training Monday - Friday 8am - 5pm EST for 8 weeks
