Job Description
Instant Teams is currently hiring a highly skilled and customer-focused Short-Term Disability Case Manager to join our remote team! In this position, you will be responsible for ensuring the timely, accurate, and customer-focused decisions and appeals for Short-Term Disability and/or Absence Management claims. A successful candidate will combine strong analytical skills and be able to handle a high caseload.
Day in the Life
- Claim Adjudication and Decision-Making:
- Render timely and accurate decisions on new and ongoing STD and AM claims.
- Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information.
- Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently.
- Maintain the confidence to make claim decisions independently.
- Case Management and Compliance:
- Document the claims system comprehensively and accurately.
- Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes.
- Ensure full compliance with regulatory requirements and operational standards.
- Meet or exceed all established claims team operational metrics.
- Customer and Partner Engagement:
- Maintain a superior level of genuine caring and empathetic customer service in all interactions.
- Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs.
- Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale.
Must Have’s
- High School Diploma (Bachelor’s Degree preferred)
- 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience
- Experience working with integrated claims (short-term, FMLA, etc.)
- Preferred demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
- Demonstrated math proficiency in calculating and processing various employee compensation components (hourly wages, salaries, bonuses, time off).
- Good understanding of medical terminology/pathology/anatomy
- Articulate verbal and writing skills, decision-making, meeting deadlines, and working with confidential information
- Moderate skills with Microsoft Office and other software applications
- Customer service skills
- Ability to manage stress, multitask, prioritize, and work effectively under pressure.
- High level of attention to detail
- Confidence to make claim decisions
- Results-driven orientation
- High attention to departmental/company procedures/practices
Position Info:
- Pay: $25/hour
- Schedule
- Training: Monday - Friday | 8am - 5pm EST (approx. 8 weeks in length)
- Post-Training: Monday - Friday | 8am - 5pm EST
- Career Progression
- This is a temp-to-perm position and may result in a full-time, permanent position with the client based on performance and business needs. Additional details to be discussed during the interview process.
- This position is 100% remote and provides equipment.
Locations not eligible:
- OCONUS
- California
- Illinois
- Iowa
- Missouri
- Montana
- New Hampshire
- Rhode Island
- Washington DC
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Notes
Other Duties
This is not necessarily a complete list of responsibilities, skills, duties, or requirements associated with the job. While this list is intended to be an accurate reflection of the current job, the Company reserves the right to revise the functions and duties of the job or to require that additional or different tasks be performed when circumstances change, (i.e., emergencies, changes in personnel, workload, rush jobs, or technological developments.)
EEO and Harassment Statement
Instant Teams provides equal employment opportunities (EEO) to all applicants, contractors, and employees without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. This policy applies to all terms and conditions of work, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Instant Teams expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Instant Teams’ contractors and employees to perform their job duties may result in discipline up to and including discharge.
About Us
As a customer experience (CX) marketplace, Instant Teams partners with nation’s top brands and companies through a suite of talent solutions that range from building out remote support teams to identifying a direct hire - all by sourcing from their remarkable and diverse talent community. As a mission-centric company, they have a proven track record of generating thousands of remote job opportunities and have significantly improved the financial well-being of military families, generating over $40 million in economic impact.
