Crawford & Company · 1 day ago
Disability Benefit Specialist (Arizona)
United States
Full-time
Remote
Entry, Mid Level
2+ years expCrawford & Company is a global leader in claims management, and they are seeking a Disability Benefit Specialist to evaluate claims and determine benefit eligibility. This role involves guiding employees toward successful return-to-work strategies while providing exceptional support and customer service.
Insurance
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
Qualification
Required
Bachelor's degree or equivalent experience required
2 + years of STD/LTD claims adjudication
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
Preferred
Experienced in the TPA or self-administration services is desired
Experience with FMLA/State leave claims is a plus
Benefits
Pay and incentive plans that recognize performance excellence
Benefit programs that empower financial, physical, and mental wellness
Training programs that promote continuous learning and career progression while enhancing job performance
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Company
Crawford & Company
Based in Atlanta, GA Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Larry Thomas
EVP - CEO Crawford U.S. Services
Bruce Swain
EVP - Chief Financial Officer
Recent News
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