STD Case Manager - Remote
Core
Evaluate and manage Short-Term Disability (STD), Statutory Disability Insurance (SDI), and Absence Management (AM) claims with accuracy and timeliness.
Role type
Claims Examiner (Disability Insurance)
Builds
Claims decisions and management plans for disability insurance products
Domain
Insurance / Disability Claims
Deliverable
client delivery
Required skills
claim evaluation, contract interpretation, documentation, medical terminology understanding, Microsoft Office Suite proficiency
Preferred skills
STD/SDI/Absence management product knowledge, medical anatomy/pathology knowledge, Claim Vantage/Fineos experience, NY Independent Adjuster license, FMLA Specialist certification
Technologies
Claim Vantage, Fineos, Microsoft Office Suite
Responsibilities
Evaluate and manage new and ongoing STD, SDI, and AM claims; Gather and assess clinical, vocational, employer, and financial information; Apply contract terms and procedural guidelines to determine claim outcomes; Maintain detailed and accurate documentation in claim systems; Develop and follow claim management plans to achieve optimal outcomes.