Short-Term Disability Case Manager - Claims Exp is Required

Military Spouse Corporate Career Network

7d • Remote

About The Position

This is a remote role for Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. The position involves ensuring 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. The role requires a High School Diploma (Bachelor's Degree preferred) and 1-2 years of job-related, full-cycle, Short-Term Disability claims experience, as well as experience working with integrated claims (short-term, FMLA, etc.). Demonstrated math proficiency in calculating and processing various employee compensation components and a good understanding of medical terminology/pathology/anatomy are also required. The position is 100% remote and provides equipment. Candidates must have a quiet, distraction-free work environment, reliable, high-speed internet, and a dedicated and private workspace. The following locations are excluded: OCONUS, California, District of Columbia, Illinois, Iowa, Missouri, Montana, New Hampshire, and Rhode Island.

Requirements

• 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
• High School Diploma
• Articulate verbal and written communication skills
• Decision-making skills
• Meeting deadlines
• 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

• Bachelor's Degree
• 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.
• Maintain the confidence to make claim decisions independently.
• 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.

Benefits

• This is a permanent position with Instant Teams and may result in a full-time, permanent position with the client based on performance and business needs.
• Additional details to be discussed during the interview process.
• Provides equipment.

What This Job Offers

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