Disability Claim Specialist/Senior Disability Claim Specialist

US-OR-Portland
7 days ago
# Positions
1
Status
Full-Time
Req #
16745

Overview

If you want to make a positive difference and stand out from the crowd, you’ll fit in at The Standard (www.standard.com). Through our retirement plans and insurance products and services, we help people achieve financial well-being and peace of mind. Come join us and share our passion for serving our customers in a positively different way. 

 

Secure and analyze claim information to make and approve appropriate claim and disability management strategies to ensure prompt and accurate decisions and payments on disability claims, including those with increased complexity or high liability. Provide responsive customer service to claimants (policyholders) or their representative, sales offices, and agency staff. 

Responsibilities

Contribute to the company’s success through excellent customer service, meeting or exceeding performance objectives for the following major job functions:

 

Investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income and expenses, insured status, including whether coverage is contestable, and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits; identify whether coverage should be rescinded, seeking appropriate input from sales, underwriting, administration, SIU and legal staff.; verify financial, occupational and medical information, securing additional information and documentation as needed when discrepancies are identified, conducting evaluation and investigation within prescribed timeframes. Demonstrate accuracy in decision making and payment of benefits.

 

Develop and execute a management strategy for each claim correctly identifying claim liability, ongoing and changing medical condition, vocational options, applicable policy limitations and provisions, deductible income including all sources of work earnings are investigated and used to reach timely and appropriate claim resolution and payment amount; and claims are managed to the correct payment duration.

 

Respond to complex/sensitive claim and account inquiries from claimants, attorneys, financial advisors, policyholders, field personnel, and other interested parties; resolve related issues through effective oral and written communication, and by involving the appropriate people within, or outside, the department or company.

 

Approve claim decisions, disability management strategies and payments recommended by less-experienced staff;  sharing knowledge, guidance and expertise as applicable and demonstrate effective leadership within the role.

 

Ensure the company's reserve liability is accurately established in payment systems by maintaining accurate claim and system data and identifying applicable claim offsets.

Qualifications

Demonstrated skills: Provide appropriate and timely disability, claim, and account management and administration. Recognize, understand and respond to complex claim and account inquiries from all interested parties in a disability claim. 

Ability to: Understand and interpret contract language, medical records, financial records and legal correspondence effectively drawing on the guidance and expertise of medical, financial, vocational and legal experts as necessary. Partner with other functional areas, including underwriting, sales, administration, legal and SIU. Demonstrate autonomy in decision making.  Effectively identify, organize and prioritize workload responsibilities

Education: College degree preferred, but not required.

Work Location: Portland, OR

Experience: Individual Disability claim experience preferred.  Equivalent experience in group disability, workers compensation, or other claim handling will be considered

 

 

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

 

For more information regarding your Equal Employment Opportunity applicant rights, click  here.

 

Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871.  This number is only for the use of individuals with disabilities who need accommodation with the application process.  General inquiries about application status will not be addressed.

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