Long Term Disability Claims Case Manager I

The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to plan provisions, state and federal guidelines, and established protocols. This role involves consulting with team members and professional resources to assist claimants with return to work efforts. The position requires problem-solving, analytical, and communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service. It also involves administering claims across various group sizes and determining integrated income.

Must Have

• Make accurate decisions on assigned claims through proactive case management.
• Consult with other team members and the Professional Resource Team.
• Utilize problem solving, analytical, written and verbal communication skills.
• Deliver timely and appropriate disability claim decisions.
• Provide superior customer service to all internal and external customers.
• Administer claims within a variety of group sizes (small to large market).
• Determine integrated income to ensure appropriate financial risk and accurate payments.
• Ensure all plan provisions are met through the duration of the claim.
• Consult with legal, investigative resources, and financial specialists.

Good to Have

• 4 year college degree or equivalent work/education experience.
• Regulatory and Compliance experience.
• Understanding of medical terminology and medical conditions.

Perks & Benefits

• Support and flexibility to achieve professional and personal goals.
• Skill-building opportunities.
• Leadership development opportunities.
• Philanthropic opportunities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.

The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, as well as, the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist.

The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX; Holmdel, NJ or remote.

You will

This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling.

The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults with legal, investigative resources, and financial specialists.

A selected incumbent may be assigned to the Stable and Mature block as well.

You have

• 4 year college degree preferred or equivalent work/education experience
• Regulatory and Compliance experience a plus

Functional Skills

• Excellent written and verbal communication skills
• Ability to exercise independent & sound judgment in decision making
• Ability to analyze evidence for discrepancies
• Ability to conduct research using multiple techniques
• Excellent time management & organizational skills
• Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations
• Self-motivated & able to work independently
• Ability to work collaboratively with multiple professional disciplines and with diverse populations
• Basic computer skills & knowledge, including Microsoft office
• Understanding of medical terminology and medical conditions helpful

Leadership Behaviors

• Continuously strives to provide superior products and customer service
• Expresses oneself in an open and honest manner
• Demonstrates self-awareness and embraces feedback
• Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources
• Perform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistance
• Partner with the Short Term Disability team on large group claims for early interventions when claims are identified as having potential to transition to Long Term Disability in order to reduce potential risk exposure

Salary Range:

$41,880.00 - $62,820.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals.  Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits

. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com

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**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.