Benefits Coordinator - Long Term Care

Unum Group•Portland, ME

4h•$36,000 - $62,400•Onsite

About The Position

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: Award-winning culture Inclusion and diversity as a priority Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability Generous PTO (including paid time to volunteer!) Up to 9.5% 401(k) employer contribution Mental health support Career advancement opportunities Student loan repayment options Tuition reimbursement Flexible work environments All the benefits listed above are subject to the terms of their individual Plans . And that’s just the beginning… With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! General Summary: Minimum starting hourly rate is $23.08 The Benefits Coordinator (BC) role is accountable for managing a block of claims for payment, settlement, and/or triaging depending on area of specialty. BCs have responsibility for understanding the current situation with the claims and activities for which they are responsible. This will be done through file reviews; ongoing claimant contact and the review of medical and financial information to confirm ongoing liability and appropriate benefit payment as outlined in the policy. BCs are responsible for providing effective and efficient claim management practices while demonstrating strong customer service, productivity and documentation skills. Fraud identification and prevention is also important for this role, therefore an understanding of the processes related to SIU and Field/Vendor services and appropriate utilization of those resources is expected. How You'll Thrive Developing skills to meet departmental standards pertaining to production, quality, timeliness and customer service are met Developing skills to accurately identify and management of those files appropriate for further investigation or referral to other areas within the department Effectively utilize specialty resources such as medical, vocational and legal to achieve optimum claims outcomes. Effectively manage a caseload of claims to the appropriate duration Responsible for being familiar with specialized workflow requirements and performance standards for any assigned customers. Developing decision rationale and current claim activities accurately and thoroughly; both verbally and in writing, to claimants, employers and other constituents. Provides excellent customer service by providing processing benefit payments on a timely basis and responding to all inquiries on a timely basis. Maintains accurate and up-to-date activities for each assigned claim, and documents in a thorough, timely and accurate manner. Develops and maintains a good rapport with claimants, policyholders and field sales offices. Developing an ability to Communicates technical information to claimants, other external customers as appropriate and field personnel regarding financial matters, contractual provisions, benefit calculations and offsets and claim practices. Thorough and timely investigation, documentation and analysis of claim decisions. Efficient and fair claim management in a high-risk legal environment. Render claim related decisions in accordance with policies and procedures, quality and service standards with partnership and direction from management. May also manage day to day activities related to Unum’s Retained Asset Account program, including reconciliation of account balances and resolution of discrepancies, resolution of accountholder requests and processing of assignments of life insurance. May perform other duties as assigned.

Requirements

High School Diploma or equivalent, required
Mathematical aptitude
Detail oriented; able to analyze and research contract information
Strong communication, verbal, written, and listening, as well as strong interpersonal skills
Experience in working with internal and external customers
Demonstrated critical thinking abilities
Analytical and decision-making skills
Ability to deal effectively with conflict in a professional manner
Ability to negotiate
Excellent customer service orientation
Ability and commitment to work as an effective team member toward shared goals.
Strong organizational and time management skills with an ability to balance production with independent decision-making
Demonstrated success in meeting goals in demanding and dynamic work environments
Demonstrated ability to act with sense of urgency and manage multiple demand

Responsibilities

Managing a block of claims for payment, settlement, and/or triaging depending on area of specialty.
Understanding the current situation with the claims and activities for which they are responsible through file reviews, claimant contact, and review of medical and financial information.
Confirming ongoing liability and appropriate benefit payment as outlined in the policy.
Providing effective and efficient claim management practices while demonstrating strong customer service, productivity and documentation skills.
Fraud identification and prevention.
Developing skills to meet departmental standards pertaining to production, quality, timeliness and customer service.
Accurately identifying and managing files appropriate for further investigation or referral.
Effectively utilizing specialty resources such as medical, vocational and legal to achieve optimum claims outcomes.
Managing a caseload of claims to the appropriate duration.
Being familiar with specialized workflow requirements and performance standards for any assigned customers.
Developing decision rationale and current claim activities accurately and thoroughly; both verbally and in writing, to claimants, employers and other constituents.
Providing excellent customer service by processing benefit payments on a timely basis and responding to all inquiries on a timely basis.
Maintaining accurate and up-to-date activities for each assigned claim, and documents in a thorough, timely and accurate manner.
Developing and maintaining a good rapport with claimants, policyholders and field sales offices.
Communicating technical information to claimants, other external customers as appropriate and field personnel regarding financial matters, contractual provisions, benefit calculations and offsets and claim practices.
Thorough and timely investigation, documentation and analysis of claim decisions.
Efficient and fair claim management in a high-risk legal environment.
Rendering claim related decisions in accordance with policies and procedures, quality and service standards with partnership and direction from management.
Managing day to day activities related to Unum’s Retained Asset Account program, including reconciliation of account balances and resolution of discrepancies, resolution of accountholder requests and processing of assignments of life insurance.
Performing other duties as assigned.

Benefits

Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer!)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments