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Disability Claims Specialist
Prudential Securities
Portland, ME, United States
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Description
The Disability Claims Specialist provides the highest level of technical support for a claims team, as an expert in all aspects of claim management.
Responsibilities Include:
• Demonstrates an intimate understanding of all aspects of Short Term Disability (STD) claim management/adjudication
• Assists in the development and coordination of training for the team (compliance, legal, medical, risk management systems, etc)
• Works with the team to address challenges relating to contract interpretation, procedures, complex claim assistance and/or direction
• Acts as a liaison to the legal department and U/W depart on complex issues
• May be called upon to help the submission of RFP's and presentations
• Tracks office measurements to ensure goals are met
Qualifications
• Minimum of 5 years experience in disability claim management
• Demonstrated conceptual thinking, risk management, and ability to handle complex claim situations effectively
• Demonstrated superior technical knowledge in the contract interpretation and administration
• Superior communication, organization, risk management and time management skills required
• Excellent customer service skills proven through internal and external customer interactions
• Coaches staff to enable excellence in customer service, and claims management while demonstrating role model behaviors
• Ability to partner with various areas of Group Insurance
• Goal oriented individual with an ability to identify and implement process improvements and to organize and analyze information to ensure objectives are met