Short Term Disability Case Manager

Employer
PeopleScout
Location
Orlando, FL
Posted
Sep 15, 2017
Jobs Outside Higher Education
Other Jobs Outside Higher Education
Institution Type
Outside Academe


Job Description

Responsibilities:

The Short Term Disability Case Manager administers our client's disability benefit programs in addition to the Federal, State and Client Company leave policies. This position ensures compliance and proper documentation in regard to all applicable laws, regulations, and plans, including HIPAA, FMLA, and all individual State Leave Acts, Military, and Company Sponsored Leave Programs. The case manager will use expertise related to the regulatory and legal requirements for employee benefit programs to employers and employees, and perform other functions as required to maintain customer service and performance standards.

ESSENTIAL FUNCTIONS:
  • Uses experience and knowledge to manage both disability and leave claims
  • Provides total claim management
  • Obtains and reviews updated medical evidence for claim decisions
  • Reviews guidelines for eligibility
  • Composes and sends communications to employers and employees within appropriate time frames
  • Delivers excellent customer service with client companies and claimants through written correspondence and by answering inbound calls
  • Provides support for all assigned accounts by setting time frames to meet quality assurance and client performance guarantees
  • Resolves problems within scope of authority, while bringing others to the attention of their manager
  • Provides support to Intake/Customer Service team as needed in the Call Center

Qualifications:
  • High School Diploma
  • 1-3 years of customer service experience.
  • Verbal and written communication skills
  • Strong oral and written communication skills to interact with claimants clearly, concisely, and persuasively.
  • Knowledge of the Family Medical Leave Act
  • Knowledge of MDA Guidelines
  • Basic knowledge of medical terminology
  • Ability to interact professionally with a diverse group (executives, managers, legal, and subject matter experts)
  • Ability to self-motivate
  • Ability to prioritize work continually and produce a significant volume of work efficiently within performance standards
  • Ability to work in a face-paced environment with short deadlines
  • Ability to demonstrate teamwork by dealing effectively with and mentoring other individuals within the organization

Company Description
Reed Group is a mid-sized (about 450 employees) company that's growing crazy fast. We help large employers (mostly) manage and understand employee absences. We build software, help people cope during big life crises, and web-publish medical information (at disabilityguidelines.com.)


Orlando, FL

7760b6618

Thu, 14 Sep 2017 14:43:19 PDT

PI99419726