STD Case Manager
Core
Make timely, accurate, and customer-focused Short-Term Disability (STD), Statutory Disability Insurance (SDI), and Absence Management (AM) claim decisions.
Role type
Claims adjudicator (disability insurance)
Builds
Claim decisions and management plans for disability insurance products
Domain
Insurance / Disability Claims
Deliverable
client delivery
Required skills
STD/SDI/AM product knowledge, claim administration techniques, regulatory compliance, Microsoft Office Suite proficiency
Preferred skills
3+ years STD claims experience, medical terminology/anatomy/pathology knowledge, Claim Vantage experience, NY Independent Adjuster license, FMLA Specialist certification
Responsibilities
Gather clinical, vocational, and financial data to support claim decisions; compare information against contract terms and procedural documents; document claim systems accurately; prepare and disseminate written and verbal communications to internal and external sources; maintain performance at or above departmental metrics.
Seniority
Individual Contributor