Job Summary: 

• Conducting detailed telephone interviews to obtain relevant medical and non-medical information.
• Effectively managing physical and psychological disability cases.
• Developing a case management plan and communicating both verbally and in writing to claimants and employers.
• Coordinating doctor-to-doctor conferences, IMEs, FCEs, and Ergo Assessments, when appropriate.
• Assessing and identifying the functional limitations that affect return to work and proactively initiating a return to work plan.
• Identifying and addressing barriers that may impact the timing of a return to work.
• Manage the transition to LTD and provide medical and summary case management to the LTD insurer to ensure a seamless transition.
• Assisting Employers with return-to-work meetings.
• Assisting with Department initiatives.
• Working as a team to support one another through flexibility, collaboration, creating a positive work environment
• Consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence.

Skills on Resume:

• Telephone Interviewing (Hard Skills)
• Disability Case Management (Hard Skills)
• Case Plan Development (Hard Skills)
• Medical Coordination (Hard Skills)
• Return to Work Planning (Hard Skills)
• Barrier Identification and Resolution (Soft Skills)
• Team Collaboration (Soft Skills)
• Professionalism and Integrity (Soft Skills) 

Job Summary: 

• Adjudication, case management, and facilitation of the recovery and return to work of employees on medical leave from long-term disability claims
• Perform functionally focused telephone interviews with employees to identify and assess the factors that affect their ability to work
• Document case files and communicate with team members to ensure a strong partnership
• Liaise with the employee, third parties (including insurers), the employer, and various health care professionals to progress the recovery and facilitate a timely return to work
• Develop, facilitate, implement, monitor, and modify, return-to-work plans
• Coordinate referrals to appropriate health resources
• Assess short-term disability claims including the identification, and analysis of medical, contractual, and eligibility information
• Take responsibility for developing case management plans
• Communicating/consulting with claimants, internal/external providers and government agencies
• Providing technical direction by reviewing and identifying file development needs
• Making decisions on payments

Skills on Resume:

• Adjudication and Case Management (Hard Skills)
• Telephone Interviewing (Hard Skills)
• Documentation and Communication (Hard Skills)
• Stakeholder Liaison (Soft Skills)
• Return-to-Work Plan Development (Hard Skills)
• Health Resource Coordination (Hard Skills)
• Medical and Contractual Analysis (Hard Skills)
• Decision-Making (Soft Skills) 

Job Summary: 

• Make timely, accurate, and customer-focused Long Term Disability, new and ongoing claim decisions. 
• Reach out to obtain relevant clinical, vocational, employer, financial, and other information. 
• Compare the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents
• Render the claim decision by expected timeframes. 
• Document the claim systems accurately and comprehensively. 
• Prepare, update, and utilize a claim management plan to attain the most appropriate outcome. 
• Remain in full compliance with regulatory requirements. 
• Demonstrate an above-average level of proficiency in product and claim administration techniques. 
• Remain fully compliant with operational standards. 
• Meet or exceed claim team operational metrics. 
• Maintain a superior level of genuine caring and empathetic customer service throughout all interactions. 
• Take appropriate actions to earn the claimant's and employer's trust and confidence. 
• Anticipate customer needs and take action as appropriate. 

Skills on Resume:

• Long-Term Disability Claims Management (Hard Skills)
• Information Gathering (Hard Skills)
• Contract and Procedural Document Review (Hard Skills)
• Claim Decision-Making (Hard Skills)
• Claim Documentation (Hard Skills)
• Claim Management Planning (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Customer Service and Empathy (Soft Skills)