Short Term Disability - South Portland - OneAmerica

    OneAmerica
    OneAmerica South Portland

    2 weeks ago

    Description

    Job Summary

    • The STD Claims Examiner is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies and the Claims department.

    Key Responsibilities:

    • Promote a positive customer service image through prompt, accurate and courteous responses to customer information needs
    • Consistently adhere to documented workflow guidelines established procedures
    • Maintain required levels of confidentiality
    • Demonstrate competency in all modules training program Remain abreast industry standards via internal/external continuing education -Promptly thoroughly investigate evaluate claims within departmental regulatory guidelines Interpret administer contract provisions including eligibility covered weekly earnings definition Total Disability verification applicable offsets pre-existing investigations Calculate benefit identify other income replacement benefits Process financial activities payment adjustments stop payments voids check reissues income adjustments reimbursement checks final benefits Process overpayments accordance established procedures Assist subrogation process recover money third parties Work coordination LTD Examiner ensure appropriate transition STD claim LTD Document claim file actions telephone conversations appropriately Refer claim activity outside authority Supervisor/Manager review Proactively communicate claimants policyholders physicians resolve investigations issues Establish communicate manage claimant policyholder expectations Utilize efficient means obtain claim information Fully investigates relevant claim issues provides payment denials promptly compliance departmental procedures Unfair Claims Practice regulations Respond customer service issues timeframes Involve technical resources Social Security Specialist medical resources vocational resources appropriate junctures Support relationships achieve outcomes Meet exceed departmental service quality production objectives Collaborate team members management identifying implementing improvement opportunities informs trend noted specific client companies All duties assigned }

  • Work in company

    Short Term Disability

    Only for registered members

    The STD Claims Examiner is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies and the Claims department.Promote a positive customer service image through prompt, accurate and courteous resp ...

    South Portland, ME

    2 weeks ago

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    Short Term Disability

    Only for registered members

    +At OneAmerica, we deliver on promises when customers need us most. · +We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals. · +The STD Claims Examiner is responsible fo ...

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    The STD Claims Examiner is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies and the Claims department.This individual will be responsible for managing appropriate adjudication of short-te ...

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