The Leave Case Manager maintains empathetic customer service while guiding associates through the leave of absence process. They are responsible for processing paperwork, administering FMLA policies, and ensuring compliance with federal and state regulations.
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 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 with team facilitation and complex escalations.
The role involves collaborating with business partners to monitor vendor performance, develop KPIs, and execute continuous improvement initiatives for subrogation and recovery. Additionally, the consultant leads project planning, manages budgets, and ensures compliance while identifying opportunities for cost savings and operational efficiency.
Manages the daily operations of the Claims business unit, including analyzing data, streamlining processes, and ensuring departmental goals are met. Directs risk management and quality improvement initiatives while overseeing employee development and training efforts.
The analyst will interpret and create complex group life and disability insurance certificates and policies while ensuring compliance with legal and regulatory standards. They will also act as a subject matter expert for contract automation projects and provide administrative support to internal teams.
The UX Designer assists in creating user interfaces and page elements that align with brand and digital design standards. They are responsible for delivering wireframes, user flows, and prototypes while conducting user research to inform design solutions.
The Cloud Engineer III is responsible for developing automation for cloud environments, maintaining platform documentation, and ensuring compliance with architectural standards. They also participate in advanced troubleshooting, perform design reviews, and mentor team members to optimize cloud performance and reliability.
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.
