Short-Term Disability Case Manager

Florida  ‐ Onsite
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Keywords

Description

Administrates our client's disability benefit programs in addition to the various leave policies. This position ensures compliance and proper documentation in regard to all applicable laws, regulations, and plans, including HIPAA, FMLA, as well as all individual State Leave Acts, Military, and Company Sponsored Leave Programs. This case manager will use expertise related to the regulatory and legal requirements for employee benefit programs to employers and employees, and perform other functions as required to maintain customer service and performance standards.
  • Use experience and knowledge to manage both disability and leave claims.
  • Provide total claim management.
  • Obtain and review updated medical evidence for claim decisions.
  • Review guidelines for eligibility.
  • Compose and send communications to employers and employees within appropriate time frames.
  • Assure customer service with client companies and claimants.
  • Provide support for all assigned accounts working by set time frames to meet quality assurance and client performance guarantees.
  • Resolve problems within scope of authority, while bringing others to the attention of their manager.
  • Provide support to Intake/Customer Service team as needed in the Call Center.
SKILLS:

Strong oral and written communication skills to interact with claimants clearly, concisely, and persuasively.
  • Knowledge of the Family Medical Leave Act of 1993.
  • Knowledge of MDA Guidelines.
  • Basic knowledge of medical terminology.
  • Ability to interact professionally with a diverse group (executives, managers, legal, and subject matter experts).
  • Ability to self-motivate.
  • Ability to prioritize work continually and produce a significant volume of work efficiently within performance standards.
  • Ability to work in a face-paced environment with short deadlines.
  • Ability to demonstrate teamwork by dealing effectively with and mentoring other individuals within the organization.
  • Must have a High School Diploma, and 1-3 years of customer service experience.
  • Medical Certification is desired
  • Bachelor's Degree is desired
  • 1-3 years of Disability or Leave experience is desired
Start date
n.a
From
Synectics
Published at
13.12.2013
Project ID:
640740
Contract type
Freelance
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