Bilingual Disability Claims Consultant
Core
Assess and manage disputed disability claims through the appeal process, ensuring optimal decisions by evaluating contract, medical, functional, and vocational components.
Role type
Senior IC disability claims consultant (appeals)
Builds
Disability insurance claim decisions and appeal outcomes
Domain
Insurance (Life & Disability)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
decision making, case management, critical thinking, analytical skills, organizational skills, problem solving, knowledge of group disability insurance policy and coverage concepts, listening skills, empathy, verbal and written communication, presentation skills, adaptability, flexibility
Preferred skills
ability to identify key information for case reviews, ability to deliver constructive feedback, ability to improve processes
Technologies
none stated
Responsibilities
Assess disputed disability claims in accordance with claims practices and procedures; obtain outstanding information or request third-party assessments for appeals; support Disability Case Managers on optimal claims decisions; identify and close gaps on case management and decision deficiencies; communicate with clients with respect and empathy throughout the appeal process; report on emerging trends; identify opportunities to continuously improve processes
Seniority
Mid-level, hands-on IC