Claims Consultant

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $58.6k - $96.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Guardian Life

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

💰 Non Equity Assistance on 2016-08

Healthcare • Consulting • Food & Beverage

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.

📋 Description

• Execute day-to-day activities to drive key metric results, claim management accuracy, and service delivery • Identify root causes, solve problems, and develop solutions to improve performance and innovation • Provide technical support to claim teams, including claim authorization reviews • Serve as subject matter expert on complex claims issues • Drive improvements in initial claim decisions, Claim Management Accuracy, and CID turnaround times • Leverage automation and alternate sourcing options to handle additional tasks • Collaborate across all lines of business to promote best practices and improve efficiency • Support timely and effective delivery of workstream initiatives • Report to the Technical Manager, Claims

🎯 Requirements

• Excellent verbal and written communication skills • Strong analytical, organizational, time management, and problem-solving skills • Ability to prioritize and manage multiple tasks in a fast-paced environment • Proven training skills on an individual and team basis • Ability to mentor and coach staff and peers to ensure proper claim adjudication and contribute to staff development • Ability to work independently and within a team • Demonstrated ability to identify and manage risk • Self-motivated • Extensive knowledge of Group Long Term Disability products, administration, and claims procedures • Strong knowledge of PC applications, including Microsoft Office, databases, and imaging systems • Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management • Excellent PC skills with knowledge of MS Word, Excel, and PowerPoint • 3+ years of LTD claims handling experience, prior DI experience, or equivalent experience required • Minimum 1 year of experience providing feedback to front-line staff and front-line supervisors • Legally authorized to work in the United States without current or future employer sponsorship

🏖️ Benefits

• Skill-building opportunities • Leadership development opportunities • Philanthropic opportunities • Contemporary, supportive, flexible, and inclusive benefits and resources • Benefits for full-time eligible employees • Reasonable accommodations for qualified applicants and employees