The Case Manager makes timely, accurate, and customer-focused decisions on complex Long-Term Disability claims while maintaining compliance with regulatory standards. They also document claims, prepare management plans, and provide empathetic customer service to claimants and employers.
Develops and maintains systems for quality audit reviews and maps business processes to define requirements and technological solutions. Creates management reports and ensures all process changes are documented and communicated to relevant teams.
The Leave Case Manager maintains empathetic customer service while guiding associates through leave of absence requests and processing related paperwork. They ensure compliance with FMLA and ADA regulations, analyze data, and provide guidance to management regarding leave situations.
The supervisor will lead, coach, and develop team members to achieve service, quality, and compliance objectives while managing daily operations and staffing. They are responsible for analyzing performance metrics, driving continuous improvement initiatives, and resolving escalated operational or customer issues.
The Senior LTD Case Manager makes timely, accurate, and customer-focused decisions on complex long-term disability claims while maintaining compliance with regulatory standards. They also document claims systems, manage claim plans, and provide mentorship to new team members.
The analyst provides oversight for team activities, ensures compliance with regulatory standards, and manages training and quality assurance processes. They also coordinate strategic initiatives, implement process improvements, and provide operational support for contract and policy transactions.
Administer leave-of-absence requests by reviewing and processing documentation, assessing FMLA eligibility, coordinating correspondence, and guiding employees and managers through applicable policies and regulations. Maintain accurate case records and data, respond to inquiries, contact providers for clarification, and support reporting, compliance, and special projects.
The Director of Client Accounting provides leadership for accounting functions supporting Life, Absence, Disability, and VB product lines while ensuring compliance with financial standards. They partner with cross-functional teams to enhance financial accuracy, manage billing processes, and provide financial insights for client renewals and forecasting.
The Leave Case Manager maintains empathetic customer service while guiding associates through leave of absence requests and processing related paperwork. They ensure compliance with FMLA and ADA regulations, analyze data, and provide guidance to management regarding leave situations.
The consultant assesses claimants' vocational assets and develops comprehensive return-to-work or retraining plans to minimize disability claims. They also manage a network of providers and collaborate with employers and clinicians to facilitate transitional work accommodations.
Manages daily operations of the Claims business unit, including employee supervision, workflow coordination, and data analysis to ensure departmental goals are met. Directs risk management and quality improvement initiatives while monitoring operating expenses and preparing recommendations for technological enhancements.
The PLADS Account Manager I is responsible for collecting and reconciling premiums, minimizing outstanding balances, and responding to customer billing inquiries. This role involves proactive communication with customers and internal teams to ensure compliance and resolve issues efficiently.
The Social Worker serves as an advocate for claimants, providing access to community services and developing programs to improve patient care. They handle complex issues, provide emotional support, and maintain accurate records of client interactions.
The clinician serves as a clinical co-manager on behavioral health claims, providing expertise in analyzing clinical information and negotiating return-to-work plans. They also review and evaluate disability claims to determine the level of functioning based on behavioral health conditions.
The Clinician Reviewer serves as a clinical subject matter expert, providing analyses related to functional impairment and reviewing disability claims. They partner with case managers on return-to-work plans and assist in resolving inconsistencies in employee functionality.
