Disability Case Manager

🔥 3 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $55k - $65k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2016

🏢 Enterprise

👥 HR Tech

☁️ SaaS

Enterprise • HR Tech • SaaS

Alight Solutions is a leading cloud-based human capital technology and services provider serving some of the world's largest organizations and over 35 million people and dependents. The company focuses on transforming lives and organizations by enhancing health, financial, and work wellbeing. Alight offers a wide range of services, including customer care, technology roles, consulting, application services, and business support, with opportunities for virtual or work-from-home positions. The company emphasizes corporate social responsibility and providing a positive impact on clients, colleagues, and communities.

📋 Description

• administering and case managing assigned Group Short Term Disability claims • following the plan provisions, state and federal guidelines, and established protocols • using most efficient and effective means of proactive outreach to obtain and/or dispense information • involving information to and from claimants, departmental managers, physicians, HR, Payroll, or any other sources • communicating claim status and decisions via telephone and in writing • initiating communications to claimant, physician, and /or plan holder to obtain information, make assessment, and initial claim decision • prioritizing and reviewing new claims to adhere to established departmental productivity • meeting productivity requirements as established by department for handling fast track disability claims • investigating and analyzing claim information to determine coverage and benefit eligibility • performing pre-existing condition investigation and draft adverse determination letter, if applicable • determining disability by comparing functionality with job • setting up claim for initial benefit approval including physician statement(s) and medical records • following claim management procedures and identifies potential return to work, job accommodation opportunities when applicable • utilizing claim management resources • working with the goal of returning claimant to active work status • assessing claim when other sources of income are received to ensure accurate offsets are applied • recalculating benefits as needed determining under/overpayments

🎯 Requirements

• demonstrable independent problem solving and decision-making ability • able to clearly communicate claim decisions and contract language verbally and in written correspondence • demonstrable math aptitude, ability to multitask, and analytical skills • 4-year college education or equivalent work/education experience • experience of 2 years of disability claim management experience (STD), or other previous Group insurance experience • experience with candidate regulatory and compliance standards

🏖️ Benefits

• health, dental and vision coverages starting Day One • wellbeing programs • retirement plans with contribution matching • generous time off • parental leave • continuing education • career growth opportunities • flexible working arrangements