Senior Disability Claims Analyst

Ameriprise Financial Services, LLC•Minneapolis, MN

1d•$62,300 - $85,700•Hybrid

About The Position

Perform all activities associated with the settlement of claims on Individual Disability insurance policies and riders, and disability waiver and ASR riders on Life insurance policies. Determine and request medical, financial and occupational claim requirements, obtain appropriate claim documents, interact with clients, advisors and outside vendors. Review information submitted to determine disability status, benefit eligibility and benefits. Make claim payment and manage the claim over the life of the client's claim.

Requirements

Associates degree or equivalent
3 to 5 years relevant experience
Understanding of medical terminology, disability duration guidelines and medical management practices.
Basic understanding of personal and business tax returns.
Critical thinking skills: gather information, apply reasoning, and make sound decisions based on analysis, experience, and judgment
Ability to collaborate and work effectively on a team.
Excellent communication skills both written and verbal.
Demonstrated problem solving and negotiation skills.
Understanding of contract law.
Excellent organizational skills and the ability to effectively prioritize tasks.

Responsibilities

Manage relationships by providing clients and advisors with clear understanding of requirements and status of claim.
Manage claim documents as they are received.
Communicate clearly and completely regarding the handling of the claim.
Adjudicate timely claim payments by determining the type and amount of the claim, verify status of the insurance policy and riders, confirm policy provisions.
Request and analyze medical, financial and occupational claim requirements; coordinate investigative efforts ensuring appropriate referral of claims to internal resources and outside vendors.
Provide thorough review of contestable claims.
Thoroughly and accurately document the claim file with subjective, objective, analysis and plan information.
Understand and comply with Fair Claim Handling requirements, state regulatory requirements, insurance law and legal/compliance procedures related to contracts and insurance claims in general.
Identify claim risk and red flags, mitigating such risk during adjudication of the claim.
Utilize referral resources and vendors appropriately to manage risk and claim costs throughout the life of the claim.
Perform secondary review and approval of peer claims within authorization level.
Handle claim referrals from team members and assist with complex claims as necessary.
Provide peer feedback and input to manager.
Provide input to improve processes and procedures; participate in improvement initiatives.