
Long Term Disability Claims Examiner
Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block. Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint. Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented. Leverage claim dashboard to manage claim inventory to determine which claims to focus efforts on for maximum impact. Have discussions with customers and employers regarding return-to-work opportunities and communicate with an action-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis. Execute on all client performance guarantees.
1 year minimum of professional experience is strongly preferred.
Bachelor's degree strongly preferred.
Experience in hospital administration, medical office management, financial services and/ or business operations is a (+)
Proven skills in positive and effective interaction with challenging customers.
Analytical skills
MS Word
MS Outlook
Time Management Skills
MS Excel skills
Collaborative negotiation skills
Process Improvement
Detail Oriented
Driven and self-motivated
Problem Solving Skills
Flexibility/Adaptability
Multi-tasking
Verbal and Written Communication
According to JobzMall, the average salary range for a Long Term Disability Claims Examiner in 225 W Station Square Dr, Pittsburgh, PA 15219, USA is between $36,945 and $62,556. The actual salary can vary based on the size of the company, location, and experience of the individual.
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New York Life Insurance Company is the third-largest life insurance company in the United States, the largest mutual life insurance company in the United States.

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