Disability claims specialist

Summary : To establish a long-term career in a company disability claims specialist I may utilize my Disability Claims Specialist professional skills and knowledge to be an effective Associate Program Manager and inspiration to those around me.

The Lead LTD Claims Specialist evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert and emerging leader who will be responsible for coaching and mentoring new associates as well as participating in projects to drive continuous improvement and improve the customer experience. The Lead LTD Claims Specialist is responsible for exercising independent judgment, demonstrating critical thinking skills, exemplary customer service skills as well as effective inventory management skills. K ey Responsibilities:. This role is also eligible for annual short-term incentive compensation. MetLife offers a comprehensive benefits program, including healthcare benefits, life insurance, retirement benefits, parental leave, legal plan services and paid time off. All incentives and benefits are subject to the applicable plan terms.

Disability claims specialist

Our vision is to be the preferred partner to the Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success, embracing diversity and committed to transformation. We do this through living our values of having the courage to be bold, care, collaboration and an intolerance for mediocrity. Were all about building strong, lasting relationships with our employees. We know that you have hopes for your future your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Case managing claimants through interaction with the employer, broker and service providers, with the aim of facilitating successful return to work, and thereby termination of benefits. Developing an understanding of and working closely with the administrative team and collaborating with internal stakeholders to ensure excellent client service. Lost your password? Login for faster access to the best deals. Click here if you don't have an account. Developing an understanding of and working closely with the administrative team and collaborating with internal stakeholders to ensure excellent client service Key Responsibilities Assess continued medical and contractual validity of income disability claims in payment Proactive referral of income disability claims to case management in terms of the business strategy Identify and refer claims for further investigations Communicate and liaise with internal and external clients, claimants, medical professions, service providers and intermediaries Support the actuarial team and offer input on claims issues Administration such as recordkeeping, summarising information, communication to clients and updating systems Qualification and Experience Matric 5 years or more experience in disability claims administration Minimum 5 years experience in assessment of disability claims. Computer proficient with Microsoft Office Excel, Word, Powerpoint, Word and Outlook Knowledge and Skills Excellent interpersonal skills Good verbal and written communication skills Well executed report writing ability Ability to find solutions related to the probable cause Comprehensive understanding of occupational risk and demands Understanding of medical conditions and their implications on functional ability and work competence Personal Qualities Flexible and Adaptable - Rebounds from setbacks and adversity when facing difficult situations.

Completed appeal paperwork, questionnaires and assisted with questions regarding the disability process. How do you balance empathy with professionalism when communicating negative decisions to claimants? Description : Reviewed and evaluated new and ongoing short-term disability claims disability claims specialist determine liability.

Common Disability Claims Specialist interview questions, how to answer them, and example answers from a certified career coach. In the realm of insurance, Disability Claims Specialists hold a unique and significant role. They serve as the link between policyholders and their much-needed benefits in times of personal crisis. This resource aims to equip you with the knowledge and confidence needed to shine during your interview. This query aims to uncover your analytical skills and understanding of the intricacies involved in processing disability claims.

Our job description management tool- JobArchitect streamlines your job description process. Say goodbye to the hassle of crafting job descriptions. Below are the most recent Disability Claims Specialist salary reports. Employer name has been removed to protect anonymity. Toggle navigation Demo. Change City. Overview Salaries Jobs Insights.

Disability claims specialist

Employees in these positions assist individuals in establishing entitlement to benefits under Social Security programs. You will have contact with the public either in face-to-face interviews or by telephone. These contacts will allow you to obtain, clarify and verify information which will be used to analyze claims and make decisions regarding entitlement to benefits. Claims Specialist positions are located in each of our field offices and at our processing center in Jamaica, New York.

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Describe your method for tracking and following up on pending claims. This allowed me to address the most pressing cases first while also ensuring that no claim was overlooked. If anything is missing, I promptly communicate with the relevant parties to obtain it. Furthermore, I introduced a feedback mechanism for clients to better understand their pain points, leading to enhanced customer service and quicker resolution of claims. MetLife maintains a drug-free workplace. It ensured fair treatment of all parties involved and minimized legal risks for the organization. Description : Scheduled 20 weekly phone appointments with clients to complete Social Security Disability Insurance appeal applications and questionnaires. Key Objective Under the direction of the Manager of Claims Administration or a designated supervisor, the Claims Consultant investigates and processes claims promptly, equitably and within established best practices guidelines. The medical records were complex and extensive, covering various treatments and medications over several years. We have been creating value for stakeholders since for more than years. Determined whether to pend, deny or pay claims.

Common Disability Claims Specialist interview questions, how to answer them, and example answers from a certified career coach. In the realm of insurance, Disability Claims Specialists hold a unique and significant role. They serve as the link between policyholders and their much-needed benefits in times of personal crisis.

You could be working on rolling out a new transaction in our chatbot, enabling a self-service capability that improves speed to market from three days to five minutes or moving a solution to Azure cloud. Keeping myself updated about changes in medical terminologies, procedures, and regulations helps me stay thorough in my reviews. You'll get access to the PDF version of this resume template. Login for faster access to the best deals. This may include escalating the matter to higher authorities within the organization or involving our legal team if necessary. Maintaining confidentiality and professionalism throughout this process is key. This question is often asked to gauge your conflict resolution skills and empathy when dealing with claimants who may be going through a tough time. This experience highlighted the importance of clear communication and collaboration with healthcare professionals in managing disability claims effectively. Share an experience where you went above and beyond for a claimant. Disability Claims Specialist Resume Objective : Disability Claims Specialist with 6 years of experience in the public and private sector with proven ability in establishing strong relationships with high levels of customer service and cross-cultural communication and negotiation strategies. Description : Prepared Social Security Disability forms required for legal proceedings. Developing an understanding of and working closely with the administrative team and collaborating with internal stakeholders to ensure excellent client service Key Responsibilities Assess continued medical and contractual validity of income disability claims in payment Proactive referral of income disability claims to case management in terms of the business strategy Identify and refer claims for further investigations Communicate and liaise with internal and external clients, claimants, medical professions, service providers and intermediaries Support the actuarial team and offer input on claims issues Administration such as recordkeeping, summarising information, communication to clients and updating systems Qualification and Experience Matric 5 years or more experience in disability claims administration Minimum 5 years experience in assessment of disability claims. Your ability to handle such situations with professionalism, sensitivity, and tact is critical to your role. Contacted doctors, psychologists, other health care professionals, and educational institutions to obtain information regarding claimants' physical and mental conditions.