Disability Case Manager

Alight, Inc.

Job Overview

Location

US-IL-Illinois-Virtual

Job Type

Full-time

Full Job Description

📋 Description

• The Disability Case Manager is responsible for administering and case managing assigned Group Short Term Disability claims.
• They will follow the plan provisions, state and federal guidelines, and established protocols.
• The role involves proactive outreach to obtain and/or dispense information, communicating claim status and decisions via telephone and in writing, and initiating communications to claimant, physician, and/or plan holder to obtain information, make assessment, and initial claim decision.
• The Disability Case Manager will prioritize and review new claims to adhere to established departmental productivity, meeting productivity requirements as established by department for handling “fast track” disability claims with limited durations.
• They will investigate and analyze claim information to determine coverage and benefit eligibility, performing pre-existing condition investigation and draft adverse determination letter, if applicable.
• The role involves determining disability by comparing functionality with job, setting up claim for initial benefit approval including physician statement(s) and medical records, and following claim management procedures and identifies potential return to work, job accommodation opportunities when applicable.
• The Disability Case Manager will utilize claim management resources, i.e. MDA (Medical Disability Advisor), and other disability guidelines, working with the goal of returning claimant to active work status.
• They will assess claim when other sources of income are received to ensure accurate offsets are applied, recalculating benefits as needed determining under/overpayments.

🎯 Requirements

• Demonstrate independent problem solving and decision-making ability.
• Able to clearly communicate claim decisions and contract language verbally and in written correspondence.
• Demonstrate math aptitude, ability to multitask, and analytical skills.
• Have 4-year college education or equivalent work/education experience.
• Experience of 2 years of disability claim management experience (STD), or other previous Group insurance experience.
• Have experience with candidate regulatory and compliance standards.

🏖️ Benefits

• Competitive total rewards package.
• Continuing education & training.
• Tremendous potential with a growing worldwide organization.
• Flexible working arrangements.
• Comprehensive benefits package, including health, dental and vision coverages starting Day One.
• Wellbeing programs.
• Retirement plans with contribution matching.
• Generous time off.
• Parental leave.
• Career growth opportunities.

Skills & Technologies

Angular

Remote

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Alight, Inc.

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About Alight, Inc.

Alight, Inc. is a leading cloud-based provider of integrated benefits solutions. The company offers a comprehensive suite of services designed to help employers manage their employee benefits programs effectively. These services include health and wellbeing solutions, retirement plan administration, payroll services, and financial wellbeing tools. Alight focuses on leveraging data and technology to personalize employee experiences, improve health outcomes, and drive financial security for individuals and their families. They serve a diverse range of clients, from small businesses to large enterprises, aiming to simplify complex benefits landscapes and empower employees to make informed decisions about their health, wealth, and wellbeing.

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