Disability Processor

SOUTHWEST SERVICE ADMINISTRATORS INC•Phoenix, AZ

1d•$18 - $24•Onsite

About The Position

The Disability Claims Processor is responsible for reviewing, analyzing and processing disability claims. In addition, this position is responsible for making determinations to approve or deny short-term disability payments.

Requirements

High School Diploma/GED
Prior knowledge of short-term disability claims required
Ability to maintain production and quality standards
Solid knowledge of medical terminology
Minimum 40 WPM and 3,000 KPH proficiency
Knowledge of MS Excel & MS Word
Professional, client-focused approach to colleagues and assignments.
Strong oral and written communication skills with exceptional attention to details.
Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
Strong dedication to follow-through on all tasks and assignments.
Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
Ability to sit for long periods of time operating a computer keyboard.

Nice To Haves

Medical Billing & Coding Certification

Responsibilities

Gain and maintain an understanding of the plan designs and effectively apply that knowledge to everyday processing.
Effectively review and analyze short-term disability income claims, initial liability, and ongoing claim determinations from first submission to finalization.
Analyze and assess claimant and medical information to determine entitlement of ongoing benefits and draw valid conclusions.
Maintain complete and accurate coding and processing.
Provide high quality customer service to all Fund members.
Respond to and resolve complex issues, including those escalated by members.
Raise issues as appropriate to Team Supervisor or Department Manager.
Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.
Work cooperatively with other team members.
Actively participate in team meetings and training activities.
Perform additional responsibilities and projects as periodically assigned.