The Sr 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, mentor new team members, and provide empathetic customer service to claimants and employers.
The Client Liaison acts as a primary point of contact for customers, identifying plan issues and facilitating workflow solutions while collaborating with IT and internal business units. They are responsible for analyzing data to identify trends, managing escalated issues, and providing training on customer processes and tools.
The clinician serves as a co-manager on behavioral health disability claims, performing clinical evaluations and negotiating return-to-work plans. They also act as a behavioral health consultant to internal units and coordinate with providers to determine functional capacity.
The Quality Assurance Analyst monitors quality indicators and identifies process gaps to improve service channel performance. They also conduct investigations, analyze operational data, and provide technical expertise to support project delivery and regulatory compliance.
The manager oversees daily claims operations, analyzes performance data, and implements strategic plans to ensure departmental goals are met. They also lead risk management initiatives, monitor quality standards, and coordinate employee training and development.
The Claims Technical Lead acts as a primary point of contact for case managers, providing mentorship, training, and quality audits to ensure effective claim outcomes. They also monitor KPIs, manage workload balancing, and support leadership in facilitating team meetings and handling complex escalations.
Manages the daily operations of the claims business unit, including staff supervision, workflow coordination, and the implementation of risk management and quality improvement initiatives. Analyzes operational data to identify trends, develops solutions for complex claims issues, and ensures departmental goals are met through strategic planning.
The Platform Engineer II is responsible for designing, developing, and maintaining platform integrations while ensuring system performance and security. They will collaborate with cross-functional teams to deploy tailored solutions and resolve technical capacity issues.
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.
