Short Term Disability Claims Examiner

  Secure and analyze claim information to make and approve disability decisions and payments on lower liability and shorter-term disability claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of a high volume of less complex claims; provide responsive customer service to claimants, policyowners, and group offices.

Investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits for lower liability and shorter-term claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes. Make and communicate disability decision and issue correct benefits for new and continuing claims.

Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide excellent customer service; ensure that each claimant's ongoing and changing medical condition, applicable policy limitations and provisions, and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and claims are managed to the correct payment duration.

Learn and apply concepts of shorter term disability claim administration including contract provisions; analyze medical, technical and legal information; organize workload to meet changing priorities and deadlines; learn and use the department's automated claim adjudication and management systems; understand and apply Federal, State and local laws and regulations affecting claim investigation, disability decision and taxation of benefits, such as the Unfair Claim Settlement Practices Act, ERISA, Americans with Disabilities Act, and Federal, State and local tax withholding and reporting requiremements.

If interested, please apply online at