Senior Disability Claims Examiner

### Position Overview The Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. As a claim manager you will partner with medical and vocational resources to evaluate disability and support return to work goals. ### Responsibilities - Deliver an exceptional customer experience that ensures customer commitments and deliverables are achieved. - Communication via telephone, email, and text with employees, employers, attorneys, and others. - Review and interpret medical records, utilizing resources as appropriate. - Complete financial calculations. - Gain an understanding and working knowledge of the claim system, policies, procedures, and contracts as well as regulatory and statutory requirements. - Apply contract/policy provisions to ensure accurate eligibility and liability decisions. - Demonstrate and apply analytical and critical thinking skills. - Verify on-going liability and develop strategies for return-to-work opportunities. - Document objective, clear and technical rationale for all claim determinations. - Provide timely and exceptional customer experience by responding to all inquiries and maintaining quality standards. - Work within a fast-paced environment with tight deadlines. - Provide technical direction and/or mentorship to other claims personnel as needed. ### Requirements - 4+ years of experience in Long Term Disability Claim Management. - Exceptional customer service skills. - Ability to solve complex claim scenarios with minimal mentorship. - Excellent claim/risk management skills and technical knowledge in contract interpretation. - Strong written and oral communication skills (bilingual Spanish/English preferred). - Excellent organizational and time management skills. - Demonstrated analytical and math skills. - Strong computer literacy; proficiency with PC based programs such as Excel and Word.