Job Description




Disability Benefit Specialist - Overland Park, Kansas (Onsite)




Make an impact every day-and love what you do!



What's in it for you?




Work onsite in a collaborative and supportive environment in Overland Park, Kansas


Help people when they need it most


Be part of a team that values compassion, clarity, and results


Make a meaningful difference in employees' lives through your expertise and guidance



Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return-to-work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support.




If you're passionate about helping others, making informed decisions, and delivering outstanding service, we'd love to hear from you!




Responsibilities

• Manages assigned caseload of disability claims for Short Term/Long Term Disability.


• Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.


• Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate.


• Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.


• Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.


• Verifies on-going disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate.


• Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards


• Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well -managed and seamless claims experience to claimants.


• Analyzes claims activity and prepares reports for clients/carriers and management as needed


• Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and Claims processors as needed.


• Effectively works together in a team setting.


• Other duties as assigned.

• Bachelor's degree or equivalent experience required.


• 2 + years of STD/LTD claims adjudication


• Experienced in the TPA or self-administration services is desired


• Experience with FMLA/State leave claims is a plus


• Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations


• Ability to work independently while assimilating various technical resources


• Computer knowledge in excel, word, web based systems, etc


• Good verbal and written communication skills


• Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures


• Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.


• Strong ability to identify, analyze and solve problems.


• Effective interpersonal skills capable of dealing with external sources and all levels of employees.