The Sr LTD Case Manager makes timely, accurate, and customer-focused decisions on complex long-term disability claims while maintaining regulatory compliance. They also provide empathetic customer service, mentor new team members, and collaborate with internal partners to support business initiatives.
The consultant facilitates the organization's Enterprise Risk Management (ERM) process and partners with business units to support risk identification, assessment, and mitigation. They lead risk assessments, develop risk reports, and provide oversight to ensure internal controls align with corporate risk policies.
The analyst develops technology and methods for auditing files and transactions while maintaining systems that house quality audit results. They also map business processes to define requirements and create management reports to support business unit decision-making.
The Senior Manager leads the implementation function, ensuring operational alignment between the business and third-party partnerships. They oversee renewal support, plan change execution, and service delivery for complex accounts while driving process improvement initiatives.
The manager oversees daily business unit operations, analyzes performance data, and develops tactical plans to achieve departmental goals. They also mentor supervisors, manage employee development, and ensure compliance with regulatory requirements.
The specialist calculates pre-disability earnings, deductions, and offsets in accordance with group disability policy provisions. They also review claimant return-to-work earnings and ensure the accuracy of benefit components within the claims payment system.
Manages the daily operations of the claims business unit, including staff supervision, workflow coordination, and the analysis of operational data to meet company goals. Directs risk management and quality improvement initiatives while ensuring compliance with industry regulations and managing departmental budgets.
The Claims Technical Lead acts as a primary point of contact for case managers, providing mentorship, training, and coaching to ensure quality outcomes. They also monitor KPIs, manage workload balancing, and handle complex customer escalations.
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 vocational providers and collaborate with employers, clinicians, and case managers to facilitate transitional work releases.
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 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.
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.
