Benefit Specialist Jobs

About The Position

Requirements

• College Degree preferred or equivalent work experience
• Excellent customer service, decision making experience, problem-solving experience and/or college experience.
• Able to utilize claim investigative techniques to identify and evaluate claim information in a fair and objective manner. Including appropriate identification of resources needed to assist with decision making process for file direction.
• Detail oriented; able to analyze and research a variety of complex contractual information.
• Maintain a high level of confidence to make fair and appropriate decisions even in the face of disagreement, while also being open and flexible to changing opinion based on new information.
• Demonstrated ability to operate with a sense of urgency and make balanced claim decisions and recommend direction with the highest degree of integrity and fairness.
• Able to influence others to reach appropriate and constructive conclusions.
• PC skills are essential; ability to operate effectively in an imaged environment.
• Demonstrated ability to multitask and balance goals and priorities effectively in a highly complex and ever-changing environment.
• Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment.
• Strong mathematical aptitude is essential.
• Excellent customer service skills.
• Strong communication; verbal, written, and listening, as well as strong interpersonal skills.
• Possess strong analytical and problem-solving skills.

Responsibilities

• Develop skills to manage a caseload of complex claims, ensuring appropriate sign-offs are obtained.
• Gain an understanding and working knowledge of Unum products, policies/procedures, and contracts.
• Develop an understanding of applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as well as regulatory and statutory requirements for claim products administered.
• Apply contract/policy knowledge and analyze technical and complex contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability decisions, and appropriate payee.
• Enhance problem-solving skills by demonstrating analytical/logical thinking.
• Take accountability for the service provided to internal and external customers with a commitment to creating exceptional customer experiences.
• Recognize multiple service connections through a team-based approach and resource partnerships, optimizing results by choosing the best strategies resulting in fair and objective claim decisions.
• Verify on-going liability and develop strategies for return-to-work opportunities as appropriate.
• Develop and strengthen claim validation and return-to-work techniques, where applicable.
• Produce objective, clear documentation and technical rationale for all claim determinations and demonstrate the ability to effectively verbally communicate determinations and recommendations.
• Effectively utilize a broad spectrum of supported resources (including financial, medical, vocational, and BRI support), materials, and tools regarding contractual, disability, and RTW strategies, as required.
• Acquire an operating knowledge of the applicable claims system(s).
• Coordinate and share information with other products as appropriate.
• Provide timely and excellent customer service by paying appropriate claims promptly and quickly responding to all inquiries.
• Maintain expected service and quality standards on all assigned claims.
• Protect the Company against extra-contractual liabilities by following established guidelines and regulations.
• Understand and demonstrate Unum values and Leadership expectations.
• Take ownership and accountability for career and skill development by demonstrating commitment to personal growth and professional development.
• Assist in creating an environment that is nimble, creative, and decisive through a culture of curiosity.
• Be open to and accepting of change and identify continuous improvement efforts.
• Take accountability to be an effective and positive change management champion.
• May perform other duties as assigned.

Benefits

• Award-winning culture
• Inclusion and diversity as a priority
• Performance Based Incentive Plans
• Competitive benefits package
• Health, Vision, Dental
• Short & Long-Term Disability
• Generous PTO (including paid time to volunteer!)
• Up to 9.5% 401(k) employer contribution
• Mental health support
• Career advancement opportunities
• Student loan repayment options
• Tuition reimbursement
• Flexible work environments