FreshRemote.Work

Long Term Disability - Claims Technical Consultant

Remote - United States

The Long Term Disability - Claims Technical Consultant is responsible for day-to-day execution to drive delivery of key metric results while growing claim management accuracy and service delivery. In this role, you will develop and maintain a culture of improvement by identifying root cause, problem solving, identify solutions to improve performance and innovation.

You will

  • Mentor and coach members of the team in conjunction with the team leader.
  • Provide technical support to claim teams including Claim Auth reviews, serve as SME on complex issues.
  • Drive improvements in initial claim decision, Claim Management Accuracy and & CID turnaround times.
  • Leverage automation and/or alternate sourcing options to handle additional tasks.
  • Collaborate with all lines of business to promote best practices to improve efficiency.
  • Serve as Subject Matter Expert to support timely and effective delivery of Workstream Initiatives.

You have

  • 3+ years LTD claims handling experience, prior DI experience or equivalent experience required.
  • Minimum 1 year experience providing feedback to front line staff and front-line supervisors.
  • Extensive knowledge of Group Long Term disability products, administration, and claims procedures.
  • Knowledge of PC Applications (including Microsoft Office, databases, imaging systems, etc.).
  • Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management.
  • Excellent PC skills with knowledge of MS Word/Excel/PPT.
  • Ability to mentor/coach staff and peers to ensure proper claim adjudication and contribute to staff development.
  • Ability to work independently and within a team.
  • Demonstrated ability to identify and manage risk.
  • Excellent verbal and written communication skills.
  • Strong analytical, organizational, time management and problem-solving skills.
  • Ability to prioritize and manage multiple tasks in a fast-paced environment.
  • Proven training skills on an individual and team basis.

Leadership Behaviors

  • Continuously strives to provide outstanding customer service.
  • Expresses oneself in an open and honest manner.
  • Demonstrates self-awareness and embraces feedback.
  • Foster and maintain a culture of open communication, continuous improvement, and innovation.

Location and Travel

This is a flexible position requiring occasional travel into one of our offices including Bethlehem and Plano for team meetings.

Salary Range

$56,200.00 - $92,335.00

The 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.

Health Care

  • Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

  • Dental plan

  • Vision plan

  • Health care accounts – flexible spending, health reimbursement, and health savings accounts

  • Critical illness insurance

Life and Disability Insurance

  • Company-paid Life and Disability insurance plus voluntary supplemental coverage

  • Accident insurance

Retirement and Financial

  • 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

  • Complimentary 1:1 financial guidance with a licensed Fidelity representative

Time Off and Remote Work

  • Flexible work arrangements (part in-person/part remote)

  • Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

  • Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

  • Paid parental leave and paid family and medical leave policies

Emotional Well-being and Work-Life

  • Emotional well-being, mental health, and work/life resources powered by Spring Health

  • Wellness programs, including fitness program and equipment reimbursement

  • Child, adult, and elder back-up care support through Bright Horizons

  • Adoption assistance

  • College planning

  • Tuition reimbursement

  • Student loan assistance

  • Commuter benefits in select metropolitan areas

Equity & Inclusion

Opportunities to build inclusive and meaningful connections through involvement in colleague-led affinity groups:

  • Employee Resource Groups:

  • Colleague Connection Committees

  • Community Involvement Committees

A culture that encourages colleagues to bring their authentic selves to work

  • Voluntary self-ID

  • Pronunciation and phonetic spelling of names

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.

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Job Profile

Regions

North America

Countries

United States

Restrictions

Flexible position Occasional travel required

Benefits/Perks

Accident Insurance Annual, sales, or other incentive compensation Critical illness insurance Dental plan Employee Resource Groups Financial Guidance Flexibility Flexible Spending Accounts Flexible work arrangements Health Care Health care accounts Health care options Incentive compensation Leadership development Life and Disability insurance Paid parental leave Philanthropic opportunities Remote work Retirement Retirement and Financial Skill-building Unlimited Paid Time Off Vision Plan

Tasks
  • Collaborate on best practices
  • Drive delivery of key metrics
  • Drive improvements in claims processing
  • Improve claim management accuracy
  • Mentor and coach team members
  • Provide technical support
Skills

Analytical Automation Claims management Coaching Communication Continuous Improvement Customer service Databases Disability claims Disability Insurance Excel Financial analysis Imaging systems Innovation Investigative Leadership Leadership Development Medical Knowledge Mentoring Microsoft Office MS Word Occupational knowledge Organizational PC Problem-solving Risk Management Sales Time Management Training Verbal and written communication Word Written communication

Experience

3 years

Education

Business Equivalent experience

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9