Short Term Disability Benefits Examiner
About the Job
If you want to make a positive difference and stand out from the crowd, you’ll fit in at The Standard (www.standard.com). Through our retirement plans and insurance products and services, we help people achieve financial well-being and peace of mind. Come join us and share our passion for serving our customers in a positively different way.
Secure and analyze claim information to make and approve disability decisions and payments on medium-complexity disability and/or state disability insurance claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of a significant volume of medium-complexity claims; provide responsive and caring customer service to claimants, policyholders, and others.
Investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for and entitlement to disability benefits for medium-complexity disability claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes and service expectations. Make and communicate disability decision and issue correct benefits for new and continuing claims.
Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide responsive and caring customer service; ensure that each claimant's ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and so that claims are managed to the correct payment duration.
Provide accurate and appropriate claim information to claimants, policyholders, sales offices and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.
Ensure the company's financial liability is accurately established by identifying all applicable deductible income and maintaining accurate claim payment and system data.
Approve claim decisions, claim management strategies, system data and payments recommended by less-seasoned staff; provide training for the department, teams and individuals; participate actively in miscellaneous projects or tasks as assigned.
Education: Associate’s degree in business, science or related field or equivalent work experience
Experience: Two years of demonstrated progressively responsible experience in disability benefits administration or the equivalent combination of education and/or relevant experience. Attention to detail and accuracy; express ideas clearly in written and verbal form; prioritize tasks to meet multiple and changing deadlines; accurately keyboard 35 WPM.
Professional certification required:
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.
For more information regarding your Equal Employment Opportunity applicant rights, click here.
Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.