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About the role
Key responsibilities & impact- Responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims
- Provide excellent customer service and interact on a regular basis with employees, employers, health care providers and other specialized internal resources
- Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life
- Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge
- Produce objective, clear documentation and technical rationale for all claim determinations
- Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation
- Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business
Requirements
What you’ll need- 4-year degree preferred or equivalent work experience
- Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience
- Medical background, voluntary benefits claims and/or disability management experience preferred
- Possess strong analytical, critical thinking, and problem-solving skills
- Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management.
- Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process
- Strong service and quality orientation.
- Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
- Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness.
- Excellent communication skills, written and verbal
Benefits
Comp & perks- Health, Vision, Dental
- Short & Long-Term Disability
- Generous PTO (including paid time to volunteer!)
- Up to 9.5% 401(k) employer contribution
- Mental health support
- Career advancement opportunities
- Student loan repayment options
- Tuition reimbursement
- Flexible work environments
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
voluntary benefits claimsrisk management strategiescontractual knowledgemedical documentation analysisclaim adjudicationdisability management
Soft Skills
analytical skillscritical thinkingproblem-solvingindependent judgmentcommunication skillsservice orientationquality orientationprofessional interactionurgencyintegrity
Certifications
4-year degree