Hiring: Disability Claims Analyst (Remote)

At The Standard, you’ll join a team focused on putting our customers first.

Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.

We offer a caring culture where you can make a real difference, every day.

Ready to reach your highest potential? Let’s work together.

JOB PURPOSE

Secure and analyze claim information to make and approve disability decisions and payments on disability claims.  Develop, apply and approve appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of disability claims.  Provide responsive and caring customer service to claimants, policyholders, and other internal and external customers; participate actively and effectively in team/department projects and issues.

PRINCIPAL ACCOUNTABILITIES / ESSENTIAL FUNCTIONS

Contribute to the company’s success through excellent customer service and meeting or exceeding performance objectives for the following major job functions:

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; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes.  Make and communicate disability decisions and issue correct benefits for new and continuing claims.

Develop and execute a claim and disability management strategy for each claim to appropriately manage claim liability and provide responsive and caring customer service; ensure that each claimant’s ongoing and changing medical conditions, vocational options, applicable policy limitations and provisions, and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; claims are managed to the correct payment duration.

Proactively communicate and respond to claim and account inquiries from claimants, policyholders, field personnel and other interested parties; resolve issues through effective oral and written communication and by involving appropriate people within, or outside, the department or company.  May act as the primary client contact within Benefits and liaison with Operations and Sales on the installation, servicing, and renewal of disability clients. Client contact responsibilities may include analysis of claim/service trends and implementation of responses; creation of customer claim reports and communications to meet client needs; participation in renewal assessments and client visits.  Effectively and professionally represent the company in all interactions.

Approve claim decisions, claim and disability management strategies and payments recommended by less-experienced staff; provide training for the department, team and individuals.

Ensure the company’s reserve liability is accurately established by identifying all applicable claim offsets and maintaining accurate claim and system data.

ESSENTIAL FUNCTION REQUIREMENTS

Demonstrated skills:  Appropriate, timely and customer-focused disability claim account management and administration; responsive and caring customer service; achieve results by effective use of all appropriate resources; model positive teaming behaviors in team and department interactions.

Ability to:  Analyze and apply medical, technical, contractual and legal information to manage an increasingly complex range of disability claims; teach and model effective claim practices to others individually and in a classroom setting; manage claim and account trends as well as individual claims.

Working knowledge of:  Federal, State and local laws and regulations affecting claim investigation, disability decision, and taxation of benefits, such as Fair Claim Settlement Practices Act, ERISA, Americans with Disabilities Act, and Federal, State and local tax withholding and reporting requirements; managed disability and claim management principles and practices including medical, vocational, investigative, financial analysis, legal issues, contract interpretation and application, company policies and guidelines.

Advanced knowledge of:  Group disability claims and their administration; department practices and procedures; department’s automated claim adjudication and management systems and resources.

QUALIFICATIONS

Education:  Degree in arts & sciences, business or related field is preferred but not required.

Experience:  Progressively responsible experience in disability claims administration or related field. Equivalent combination of education and/or relevant experience may substitute.

#LI-remote

Note: The Standard is required to provide a reasonable estimate of the salary for this role when hiring a Colorado resident. The salary for employees working in Colorado in this role is listed below. The Standard’s package also includes incentive plan participation and comprehensive benefits including medical, dental, vision, retirement, and paid time off.
Please note, eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.

Salary Range:

$61,250.00 – $89,750.00

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.

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