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Disability Benefit Specialist - Future Opportunities! 9/15/2016

Broadspire Sunrise, FL

Company
Broadspire
Job Classification
Full Time
Company Ref #
DBS - FL001
AJE Ref #
576178127
Location
Sunrise, FL
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
Bachelors Degree

JOB DESCRIPTION

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Position Summary:



As a Disability Benefit Specialist you will be relied upon to obtain and evaluate information in order to determine eligibility of benefits. Managing assigned caseloads of disability claims for Short Term/Long Term Disability, you will be able to demonstrate a general knowledge of disability contracts, policies, and products and continued understanding of medical and vocational issues.

Principal Duties and Responsibilities:

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Communicate with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
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Apply the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate.
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Provide superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.
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Demonstrate ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.
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Verify on-going disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate.
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Use disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards
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Ensure a timely and appropriately coordinated transition of claims from STD to LTD, providing a well -managed and seamless claims experience to claimants.
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Analyze claims activity and prepares reports for clients/carriers and management as needed.
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Other duties as assigned.







Requirements:

* Bachelor's degree or equivalent experience required

* 2+ years of STD/LTD claims adjudication

* Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures

* Strong ability to identify, analyze, and solve problems

* Computer knowledge in excel, word, web based systems, etc.

Preferred:

* Experienced in the TPA or self-administration services

* Experience with FMLA/State leave claims

In addition to a competitive salary, Crawford offers you:

* Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries;

* On-going training opportunities through every stage of your career;

* Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V

Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.