Disability Case Manager

🔥 2 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $55k - $65k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Administering and case managing assigned Group Short Term Disability claims. • Using most efficient and effective means of proactive outreach to obtain and/or dispense information. • 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. • Investigating and analyzing claim information to determine coverage and benefit eligibility. • Determining disability by comparing functionality with job. • Following claim management procedures and identifying potential return to work opportunities. • Assessing claim when other sources of income are received to ensure accurate offsets are applied.

🎯 Requirements

• Demonstrate independent problem solving and decision-making ability. • Able to clearly communicate claim decisions and contract language verbally and in written correspondence. • Demonstrate math aptitude, ability to multitask, and analytical skills. • Have 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. • Have 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.