Short-Term Disability Case Manager

Instant Teams•Groton, CT

5d•$25 - $25•Remote

About The Position

Instant Teams is currently hiring a highly skilled and customer-focused Short-Term Disability Case Manager to join our remote team! In this position, you will be responsible for ensuring the timely, accurate, and customer-focused decisions and appeals for Short-Term Disability and/or Absence Management claims. A successful candidate will combine strong analytical skills and be able to handle a high caseload. Day in the Life Claim Adjudication and Decision-Making: Render timely and accurate decisions on new and ongoing STD and AM claims. Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information. Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently. Maintain the confidence to make claim decisions independently. Case Management and Compliance: Document the claims system comprehensively and accurately. Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes. Ensure full compliance with regulatory requirements and operational standards. Meet or exceed all established claims team operational metrics. Customer and Partner Engagement: Maintain a superior level of genuine caring and empathetic customer service in all interactions. Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs. Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale.

Requirements

High School Diploma (Bachelor's Degree preferred)
1-2 years of job-related, Full Cycle, Short-Term Disability claims experience
Experience working with integrated claims (short-term, FMLA, etc.)
Demonstrated math proficiency in calculating and processing various employee compensation components (hourly wages, salaries, bonuses, time off).
Good understanding of medical terminology/pathology/anatomy
Articulate verbal and writing skills, decision-making, meeting deadlines, and working with confidential information
Moderate skills with Microsoft Office and other software applications
Customer service skills
Ability to manage stress, multitask, prioritize, and work effectively under pressure.
High level of attention to detail
Confidence to make claim decisions
Results-driven orientation
High attention to departmental/company procedures/practices

Nice To Haves

Preferred demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Responsibilities

Render timely and accurate decisions on new and ongoing STD and AM claims.
Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information.
Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently.
Document the claims system comprehensively and accurately.
Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes.
Ensure full compliance with regulatory requirements and operational standards.
Meet or exceed all established claims team operational metrics.
Maintain a superior level of genuine caring and empathetic customer service in all interactions.
Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs.
Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale.