The Life and Living Benefits Claims Adjudicator manages a caseload of new and ongoing claims, applying policy provisions to render accurate decisions. They also provide proactive communication to claimants, beneficiaries, and other stakeholders while ensuring service standards are met.
The Claims Specialist provides case management expertise and coaching support for disability claims while performing strategic reviews and audits. They partner with internal teams to develop quality performance strategies and act as a subject matter expert in risk mitigation and vocational rehabilitation.
The Trainer will design and deliver comprehensive training programs for Claims, Early Intervention, and Rehab teams to improve quality and performance. They will collaborate with subject matter experts to revamp new hire training and create engaging learning content using various software platforms.
The Injury Management Specialist will proactively manage workers' compensation claims and facilitate early, safe return-to-work plans for clients. They are responsible for maintaining positive client relationships, coaching employers on claims processes, and ensuring accountability among all parties involved in the recovery process.
Review and process injury reports, coordinate with employees, employers, and workers' compensation boards, and manage less complex claims, including forms, payroll requests, and return-to-work or medical-aid claim follow-up. Complete short-term disability and early-intervention referrals, provide reporting, and escalate issues to internal specialists when needed.
