Sr. Case Manager - Disability and Leave Management

Michelin • Greenville, SC

2d • Onsite

About The Position

The experienced Senior Case Manager, possessing a strong medical background, supports employees by providing clear communication and direction to reduce stress during a moment that matters. The Senior Case Manager will provide disability case management and claim determinations based upon objective medical documentation while handling advanced cases. Telephonic case management includes working closely with employees to evaluate each case. It involves interpreting the disability plan, resolving benefits, ensuring timely claim assessments, arranging outside vendor evaluations or referrals, and maintaining communication with all vital parties.

Requirements

• Registered Nurse (RN) or related licensed health care experience required
• Strong technology skill, including proficiency with Microsoft Office products
• 5+ years’ experience with benefits, disability case/claims management, or other related field
• Desire for lifelong learning/upskilling
• Solid understanding of medical conditions and terminology, duration management and ERISA.
• Ability to influence and resolve issues using strong communication skills. Both written and verbal communication skills are critical.
• Ability to function successfully in a team environment to drive progress and ensure consistency across the group.
• Ability to interact clearly and transparently with leadership.
• Ability to understand objectives and deliverables and orchestrate completion.
• Ability to remain calm under pressure, perform sound decision-making, diffuse difficult situations, and handle customer issues.

Nice To Haves

• Bilingual in English and Spanish a plus
• Progress / Continuous Improvement approach a plus
• Bilingual in English and Spanish is a plus.

Responsibilities

• Telephonically manage disability and leave of absence claims so that employees can return to work no sooner and no later than medically possible.
• Analyze, approve, and authorize assigned claims to determine benefits due to the employee.
• Apply the appropriate clinical resources (ex: duration guidelines) in case assessment to ensure timely case resolution and compliance with all requisite regulations.
• Communicate clearly and effectively with employee and Michelin on all aspects of the claims process including required documentation, deliverables and deadlines, payment information and status updates.
• Assess benefits owed, ensure timely claim reviews and clearly communicate throughout the process.
• Partner with employees, managers, Occupational Health Nurses and SP business partners throughout the injury reporting and resolution process.
• Coordinate efforts to ensure consistency, respect for facts, and conducting a detailed review of contested claims
• Handle complex disabilities claims including advanced cases and transitions from short term disability to long term disability.

Benefits

• Career Growth: Personalized development plans, mentorship, and cross-functional opportunities.
• Unique career paths and opportunities for advancement.
• Inclusive Culture: Thrive in a diverse, supportive environment where your competencies, contributions and behaviors are recognized.
• Option to join one of our Connected Communities.
• Innovation-Driven: Work on projects that matter—from sustainable materials to digital transformation.
• Community Impact: Be part of a company that does what's right. We use sustainable business practices while balancing the needs of our customers and communities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees