LTD Claims Technical Consultant

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $58.6k - $96.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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Guardian Life

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

💸 Finance

🧘 Wellness

💰 Non Equity Assistance on 2016-08

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.

📋 Description

• Provide Technical Support to Claim Teams including Claim Auth reviews, serve as SME on complex issues • Drive improvements in initial claim decision, Claim Management Accuracy and CID turnaround times • Leverage automation and/or alternate sourcing options to handle additional tasks • Collaborate with all lines of business to promote best practices to improve efficiency • Support at least one interdepartmental collaboration team to help drive positive outcomes, supporting each functional area and creating organizational awareness • Leverage data analytics to improve claim management outcomes

🎯 Requirements

• 3+ years LTD claims handling experience • Prior DI experience or equivalent • Minimum 1 year experience providing feedback to front line staff and front-line supervisors • 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/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, imaging systems, etc.) • Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management • Excellent PC skills with knowledge of MS Word/Excel/PPT

🏖️ Benefits

• Support and flexibility to achieve professional and personal goals • Skill-building opportunities • Leadership development • Philanthropic opportunities • Diverse colleagues with high ethical standards