Appeals Case Manager II – Group Disability Insurance

2 days ago

🔔 Pennsylvania – Remote

Although this job is listed in Pennsylvania, this company may be open to hiring remote in other states.

💵 $58.6k - $96.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

🦅 H1B Visa Sponsor

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Guardian Life

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Finance • Insurance • Wellness

Guardian Life is a comprehensive insurance provider offering a wide range of insurance products and services. Founded 160 years ago, the company has grown to serve over 12 million people daily. Guardian Life specializes in various insurance plans, including life, disability, dental, vision, accident, critical illness, and hospital indemnity insurance. The company also provides workforce solutions such as group benefits, absence management, paid leave, and benefits technology. Furthermore, Guardian Life offers investment services, annuities, and retirement plans, supported by financial professionals. The firm is committed to social responsibility, equity, and inclusion, partnering with organizations to foster well-being and financial health. With a strong network and deep industry experience, Guardian Life continues to be a reliable partner in protecting individuals and families while preparing them for the future.

5001 - 10000 employees

Founded 1860

💸 Finance

🧘 Wellness

💰 Non Equity Assistance on 2016-08

📋 Description

• Adjudicate assigned appeals for Group Life and Disability claims • Provide full and fair reconsideration review of claims • Thoroughly assess claim file and apply plan provisions • Support Group Short-Term Disability, Long-Term Disability and Life Waiver of Premium appeals • Utilize effective claim management skills to investigate disputed claims • Ensure timely and compliant appeal resolution • Identify and interpret relevant plan language and investigate claim issues • Evaluate medical, financial, and other claim information • Provide superior customer service to all customers • Maintain current knowledge of ERISA and Department of Labor guidelines

🎯 Requirements

• A minimum of 5 years of Group Disability and/or Life claims experience • A minimum of 3 years of experience handling appeals or complex claims (preferred) • Bachelor’s Degree (preferred) or equivalent professional experience • A client focus with excellent verbal and written communication skills • Strong problem-solving and analytical skills • Ability to manage multiple tasks in accordance with regulatory requirements

🏖️ Benefits

• Annual, sales, or other incentive compensation • Support and flexibility to achieve professional and personal goals • Skill-building and leadership development opportunities • Philanthropic opportunities to build communities