A long-standing company in NJ is seeking a Senior Disability Claims Administrator to support their operations in Maplewood, NJ. Please apply for more information.
Responsibilities:
Review applications for temporary disability benefits (TBD) claims to ensure that required information is submitted and the appropriate medical documentation is received
Review medical documentation for accuracy, compliance and duration of absence based on medical diagnosis for TDB claims
Authorize TDB claim payments in compliance with employee application, state law, collective bargaining agreement, medical diagnosis and duration of absence
Remain in contact with employees as required during authorized absence and ensures compliance with medical recommendations on TDB claims
Attempt to resolve contractual disagreements prior to a grievance being filed regarding TDB benefit determination in conjunction with contracts, policies and past practices
Perform other duties, as needed
Qualifications:
4+ years of experience in a Disability Claims, Medical environment, and/or other Claims-related role
High School Diploma / GED
Must be able to apply state disability law to day-to-day situations and communicate the company position on each claim.
Familiarity with Automated Claims Management system
Solid investigative skills
Great interpersonal skills
Excellent communication skills (written and verbal)