Disability Benefits Examiner at The Standard in Portland, Pennsylvania

Job Description:

Remote Type: Remote (USA)
Portland, OR
Remote, USA
Time Type: Full time
Requisition ID: REQ005044


Description:

At The Standard, you’ll join a team focused on putting our customers first.

Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.

We offer a caring culture where you can make a real difference, every day.

Ready to reach your highest potential? Let’s work together.

Job Summary

Secure and analyze claim information to make and approve disability decisions and/or payments on disability and/or state disability insurance claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and management of lower complexity and/or lower liability claims; provide responsive and empathetic customer service to claimants, policyowners, and others.

Principal Duties & Responsibilities:

• 45% - 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 risk disability claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes and service expectations. Make and communicate disability decisions for new, continuing and maintenance claims. Issue correct benefits.

• 30% - Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide responsive and empathetic customer service. Ensure that each claimant's ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and so that claims are managed to the correct payment duration.

• 20% - Provide accurate and appropriate claim information to claimants, policyholders and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.

• 5% - Ensure the company's financial liability is accurately established by identifying all applicable deductible income and maintaining accurate claim payment and system data.

• Other duties as assigned.

Skills and Background You’ll Need

• Required experience: 2+ years of demonstrated progressively responsible experience in disability benefits administration or the equivalent combination of education and/or relevant experience.

• Preferred education: Associate degree

• Certification: For Reinsured, TPA, or partner claims, this position may also adjudicate waiver and life claims and be required to obtain an individual Kentucky TPA license after hire.

• Attention to detail and accuracy.

• Express ideas clearly in written and verbal form.

• Prioritize tasks to meet multiple and changing deadlines.

• Location: Employees in this role are fully remote and are responsible for maintaining their office setup at home to include private, professional, and safe working conditions.

• Travel Requirements: Occasional travel (such as conferences or team building) may be required.

Key Behaviors of a Successful Candidate

• Customer Focus: Understand and anticipates both internal and external customers' needs and takes action to provide high quality products and services to exceed their expectations.

• Adaptability: Recognizes and is open to changing circumstances and alters behavior as necessary.

• Winning Together: Actively engages colleagues to achieve shared outcomes by developing trust, understanding diverse perspectives and pushing to examine and challenge ideas.

Why Join the Standard?

We have built an enduring legacy of stability, innovation and financial strength thanks to the contributions of the talented, creative and compassionate people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:

• A rich benefits package including a 401(k) plan with matching company contributions

• An annual incentive bonus plan

• Generous paid time off

• A supportive and responsive management approach

• Opportunities for career growth and advancement

• Paid time off to volunteer

• An employee giving program that double matches your donations to eligible nonprofits and schools

• Much more!

#LI-REMOTE

Please note - the salary range for this role is listed below. In addition to salary, our package includes incentive plan participation and comprehensive benefits including medical, dental, vision and retirement benefits, as well as an initial PTO accrual of 164 hours per year. Employees also receive 11 paid holidays and 2 wellness days per year.

• Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.

Salary Range:

20.07 - 27.88

Positions will be posted for at least 5 days from original posting date.

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 identity, sexual orientation, age, disability, or veteran status 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, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

About Us:

The Standard is a family of companies dedicated to helping its customers achieve financial well-being and peace of mind. In business since 1906, we’re a leading provider of group and individual disability insurance, group life, dental and vision insurance, voluntary (employee-paid) benefits, absence management services, and retirement plans and annuities for employers and individuals. For more information about The Standard, visit www.standard.com or follow us on LinkedIn.

PI250835772

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