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Role Description

As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service.

• Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income/expenses, insured status, and other policy provisions to accurately determine eligibility for disability benefits.
• Identify whether coverage should be rescinded, seeking appropriate input from medical underwriting, legal, etc.
• Identify financial or medical discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes.
• Make and communicate disability approval decisions and issue correct benefits.

Qualifications

• High school diploma or equivalent
• A minimum of 3-5 years of disability claims processing experience with at least 2 years of IDI specific claims experience.
• Ability to understand and interpret all claim evaluation materials such as contract language, medical records, financial records and legal correspondence.
• Experience acting as a liaison with underwriting, reinsurance carriers, sales, private investigators, etc.
• Recognize, understand and respond to situations involving potentially fraudulent activity and/or litigation to ensure a defensible file.
• Effectively identify and prioritize critical objectives focusing on high impact components.
• Provide effective leadership.

Requirements

• Taking action: Independently drives work forward and takes responsibility for achieving job requirements, tasks and objectives.
• Customer focus: Displays an interest in the customer by trying to understand their concerns and issues; draws on customer insight to help others with how to best meet current and future customer needs.
• Improvement mindset: Sees old problems and status quo as opportunities to improve; identifies opportunities to improve team performance.

Benefits

• A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
• An annual incentive bonus plan
• Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenure
• A supportive, responsive management approach and opportunities for career growth and advancement
• Paid parental leave and adoption/surrogacy assistance
• An employee giving program that double matches your donations to eligible nonprofits and schools

Salary Range

$76,250.00 - $111,500.00