Disability Case Manager – Temporary

🔥 0 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $38.5k - $50k / year

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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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

• Administer and case manage assigned Group Disability claims • Follow plan provisions, state and federal guidelines, and established protocols • Conduct proactive outreach to claimants, departmental managers, physicians, HR, Payroll, and other sources • Communicate claim status and decisions by telephone and in writing • Obtain information, assess claims, and make initial claim decisions • Prioritize and review new claims to meet departmental productivity requirements • Investigate and analyze claim information to determine coverage and benefit eligibility • Perform pre-existing condition investigations and draft adverse determination letters when applicable • Determine disability by comparing functionality with the job • Set up claims for initial benefit approval using physician statements and medical records • Follow claim management procedures and identify return-to-work and job-accommodation opportunities • Use claim management resources, including MDA (Medical Disability Advisor) and other disability guidelines • Assess other sources of income and apply accurate offsets • Recalculate benefits and determine underpayments or overpayments • Work toward returning claimants to active work status • Work jointly with STD, LTD, and Risk Management resources

🎯 Requirements

• Independent problem solving and decision-making ability • Clear verbal and written communication of claim decisions and contract language • Math aptitude, multitasking, and analytical skills • 4-year college education or equivalent work/education experience • 2 years of disability claim management experience, or other previous Group insurance experience • Experience with regulatory and compliance standards • Work authorization in the employing country without current or future visa sponsorship requirement • Successful completion of a background check, as applicable

🏖️ 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 wherever possible • Competitive total rewards package • Continuing education and training • Occasional travel to physical office locations may be required