Job Posting End Date: September 19
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
- Award-winning culture
- Inclusion and diversity as a priority
- Performance Based Incentive Plans
- Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
- Generous PTO (including paid time to volunteer!)
- Up to 9.5% 401(k) employer contribution
- Mental health support
- Career advancement opportunities
- Student loan repayment options
- Tuition reimbursement
- Flexible work environments
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*All the benefits listed above are subject to the terms of their individual Plans.
And that's just the beginning...
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
General Summary:
Minimum starting hourly rate is $24.04
This position is responsible for the thorough, fair, objective, and timely adjudication of short-term disability claims in conjunction with providing technical expertise regarding FMLA and specialized state leave regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers, health care providers and other specialized internal resources. This role also requires a high level of mentoring and support from manager as part of the developmental plan.
Principal Duties and Responsibilities:
- Timely and accurate adjudication of STD claims initially with development to more complexity as experience is gained
- Processing of leaves associated with an employee's own health condition
- Develop and apply technical contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements and liability decisions
- Develop skill set to determine complex eligibility and availability of leave for integrated claims/leaves
- Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and effective communication of rationale for claims action
- Determine and generate appropriate communications to comply with FMLA and State regulations and customer procedures
- Provide excellent customer service by paying appropriate claims promptly and quickly and independently responding to all inquiries within service guidelines
- Develop relationships with Employer contacts, including HR administrators
- Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation
- Ensure a timely and well communicated transfer process when transitioning integrated claims from STD to LTD, ensuring a coordinated and continuous claims experience to employees
- Maintain organizational service standards on all assigned claims and leaves
- Be familiar with specialized workflow requirements and performance standards for any assigned customers
- May perform other duties as assigned
Job Specifications:
- 4-year degree preferred or equivalent work experience
- Ability to develop Leave and STD product knowledge and apply a best in class service experience
- Medical background, Disability claim and/or leave management experience preferred
- Ability to exercise independent judgment and discretion in antepartum and postpartum claim adjudication decisions.
- Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
- Strong service and quality orientation.
#LI-SA1
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$40,000.00-$72,000.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum