Job Order Detail

Description

The Employee Benefits team, in collaboration with health system partners, has embarked on a 3-year strategic plan to re-design the disability claims management model. This plan includes reframing claims management from adjudication to an active case management approach. This change positions the Claims Services area to provide improved service and collaborative support with plan members on their path to health.

Our Claims Services team is hiring a Claims Adjudicator who will be responsible for assessing and managing short and long-term disability claims to resolution. This includes determining if the claimants are eligible for benefit payments and developing appropriate action plans for each claim. The Adjudicator works in partnership with claimants, member organizations, unions, lawyers, physicians and rehabilitation consultants. The Claims Adjudicator makes timely decisions based on medical information, vocational components, and plan policies, while effectively and proactively managing a caseload of ongoing claims.

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