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 experienceRegulatory and Compliance experience a plusFunctional Skills
Excellent written and verbal communication skillsAbility to exercise independent & sound judgment in decision makingAbility to analyze evidence for discrepanciesAbility to conduct research using multiple techniquesExcellent time management & organizational skillsMultitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulationsSelf-motivated & able to work independentlyAbility to work collaboratively with multiple professional disciplines and with diverse populationsBasic computer skills & knowledge, including Microsoft officeUnderstanding of medical terminology and medical conditions helpfulLeadership Behaviors
Continuously strives to provide superior products and customer serviceExpresses oneself in an open and honest mannerDemonstrates self-awareness and embraces feedbackPartnering
Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resourcesPerform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistancePartner with the Short Term Disability team on large group claims for early interventions when claimsare identified as having potential to transition to Long Term Disability in order to reduce potential risk exposureSalary Range:
$40,960.00 - $61,435.00The 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.
Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.