Benefits Review Specialist (disability claims)
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POST DATE 8/23/2016
END DATE 10/27/2016
StanCorp Financial Group, Inc.
White Plains, NY
JOB DESCRIPTIONMORE INFORMATION ABOUT THIS JOB:
If you want to make a positive difference and stand out from the crowd, you ll fit in at The Standard (www.standard.com). Through our retirement plans and insurance products and services, we help people achieve financial well-being and peace of mind. Come join us and share our passion for serving our customers in a positively different way.
The Benefits Review Specialist conducts independent reviews of disputed disability and life claims determinations in a timely, accurate and objective manner; communicate decisions to claimants, beneficiaries and/or their legal representatives, and Benefits management; make recommendations for improvement to contribute to appropriate benefit determinations, reserve accuracy and claim management; provide responsive and caring customer service to claimants, beneficiaries, policyholders, and other internal and external customers.
*This position can sit in our Portland, OR office or White Plains, NY office. Employees in our White Plains office receive a 20% geo differential.
Conduct independent reviews of disputed claims which involve a range of medical, vocational and/or contractual issues; identify file/fact discrepancies and outstanding issues and coordinate the receipt of additional documentation as necessary to allow for reasonable and well-supported claims determinations.
Work with ISG Legal Department to clarify issues, prepare files for litigation, and resolve or settle disputed claims. Communicate decisions to claimants/beneficiaries or their representatives, as well as to the appropriate Division personnel. Provide feedback to the ARU Supervisor and/or Benefits Supervisor with regard to training or claims administration issues identified in contested claims reviewed; identify areas of need and recommend methods for quality improvement.
Approve claim determinations and claim action plans as recommended by less seasoned staff; provide training for the team, department and individuals.
Education: Degree in business, science or related field
Experience: Three years experience as a Benefits Review Examiner or Disability Benefits Analyst, or the equivalent combination of education and/or relevant experience.
Skills & Knowledge: Ability to analyze multiple, complex, legally sensitive claim issues and make accurate judgment calls; interpret decisions and contract provisions in litigious settings; apply knowledge of Benefits operations to assess claim administration quality; learn and retain changing procedures, methodology and legal issues related to claim administration; report results and make recommendations for improvement.
Professional Certification Required: FLMI or CEBS coursework and/or certification preferred.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.
For more information regarding your Equal Employment Opportunity applicant rights, please visit the URL: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf, click here.
Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.
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