Senior Disability Claims Examiner – Virtual

Job Description:

  • Provide top-tier customer service to employees of a large Group Insurance client at the start of their leave
  • Manage approximately 95 Short-Term Disability (STD) claims
  • Oversee complex claims involving co-morbidities, behavioral health issues, and self-reported symptoms
  • Handle customer service calls for the assigned client
  • Become familiar with the client's culture and product offerings to deliver exceptional service
  • Identify opportunities to enhance the claimant experience
  • Champion continuous process improvement within the Concierge Team
  • Interact with the client's Leave team during quarterly virtual meetings
  • Engage daily with the client's Benefits Business Partners
  • Provide technical direction to other claims personnel as needed
  • Leverage team resources to achieve goals

Requirements:

  • 2–3 years of experience in Short-Term Disability (STD) required
  • FMLA/State Leave experience preferred
  • Proficient in proactive communication via phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls
  • Energetic and customer-focused, with proven ability to maintain strong customer relationships
  • Confident communicating with highly skilled and educated software-industry claimants, especially in challenging situations
  • Excellent documentation skills for capturing telephone conversations and creating clear, concise claim plans
  • Ability to understand and interpret complex and non-standard policy and plan provisions
  • Ability to independently navigate ambiguous situations and adapt quickly
  • Excellent organizational and time management skills
  • Demonstrated analytical and math skills
  • Strong teamwork skills and ability to leverage resources
  • Internet service plan with at least 25 Mbps download speed and willingness to troubleshoot connectivity issues
  • Ability to handle calls using a cell phone with unlimited data and minutes or a landline
  • Quiet, distraction-free work area at home
  • Preference for Pacific Time Zone business hours, or ability to work a later shift supporting West Coast customers
  • Reliability and dependability throughout the extensive training program

Benefits:

  • Market competitive base salaries
  • Yearly bonus potential at every level
  • Medical, dental, vision, life insurance, and disability insurance
  • Paid Time Off (PTO)
  • Parental and military leave
  • 401(k) plan with company match (up to 4%)
  • Company-funded pension plan
  • Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
  • Work/Life Resources supporting parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
  • Education Benefit for approved traditional college enrollment and accredited certificate programs
  • Employee Stock Purchase Plan: shares can be purchased at 85% of the lower of two prices
  • Eligibility to participate in a discretionary annual incentive program
  • Virtual work arrangement
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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