Associate 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
Associate claims case manager
Builds
Insurance claim decisions and management plans
Domain
Insurance / Disability Claims
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
STD/SDI/AM product knowledge, claim administration techniques, Microsoft Office Suite proficiency, regulatory compliance knowledge
Preferred skills
1-3 years STD claims experience, medical terminology/anatomy/pathology knowledge, Claim Vantage experience, NY Independent Adjuster license, FMLA Specialist certification
Technologies
Microsoft Office Suite, Claim Vantage
Responsibilities
Gather clinical, vocational, employer, and financial data to support claim decisions; Compare gathered information against contract terms and procedural documents; Document claim systems accurately and comprehensively; Prepare and disseminate written and verbal communications to internal and external sources; Prepare and update claim management plans to attain appropriate outcomes; Maintain compliance with regulatory and operational standards.
Seniority
Associate, individual contributor