Disability Claim Specialist - IDI

The Standard • Tampa, FL

1d • Remote

About The Position

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service. Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income/expenses, insured status, and other policy provisions to accurately determine eligibility for disability benefits. Identify whether coverage should be rescinded, seeking appropriate input from medical underwriting, legal, etc. Identify financial or medical discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes. Make and communicate disability approval decisions and issue correct benefits.

Requirements

• High school diploma or equivalent
• A minimum of 3-5 years of disability claims processing experience with at least 2 years of IDI specific claims experience.
• Ability to understand and interpret all claim evaluation materials such as contract language, medical records, financial records and legal correspondence.
• Experience acting as a liaison with underwriting, reinsurance carriers, sales, private investigators, etc.
• Recognize, understand and respond to situations involving potentially fraudulent activity and/or litigation to ensure a defensible file.
• Effectively identify and prioritize critical objectives focusing on high impact components.
• Provide effective leadership.

Responsibilities

• Secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service.
• Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income/expenses, insured status, and other policy provisions to accurately determine eligibility for disability benefits.
• Identify whether coverage should be rescinded, seeking appropriate input from medical underwriting, legal, etc.
• Identify financial or medical discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes.
• Make and communicate disability approval decisions and issue correct benefits.

Benefits

• A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
• An annual incentive bonus plan
• Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenure
• A supportive, responsive management approach and opportunities for career growth and advancement
• Paid parental leave and adoption/surrogacy assistance
• An employee giving program that double matches your donations to eligible nonprofits and schools
• In addition to the competitive salary range below, our employee-focused benefits support work-life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED