LTD Claims Consultant
New
J
JobgetherInsurance
Based in United StatesFull-TimeMiddle
Salary$58,620–$96,300 per year
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Job Details
- Experience
- 3+ years of Long-Term Disability (LTD) claims handling experience
- Required Skills
- Data AnalysisMicrosoft ExcelPowerPoint
Requirements
- 3+ years of Long-Term Disability (LTD) claims handling experience, with prior Disability Income (DI) experience or equivalent relevant experience.
- At least 1 year of experience providing feedback, coaching, or guidance to frontline staff and/or frontline supervisors.
- Extensive knowledge of group LTD products, administration, claims procedures, and disability claims management.
- Strong understanding of the financial, medical, occupational, and investigative dimensions of disability claims.
- Demonstrated ability to analyze complex issues, identify risks and root causes, and develop effective solutions.
- Excellent verbal and written communication skills.
- Strong organizational, analytical, time-management, prioritization, and problem-solving capabilities.
- Proven ability to train individuals and teams, mentor colleagues, and contribute to professional development.
- Strong proficiency with Microsoft Office applications, particularly Word, Excel, and PowerPoint.
- Ability to work independently while collaborating effectively across teams and business functions.
Responsibilities
- Provide technical support to claims teams, including claim authorization reviews, complex issue resolution, and expert guidance on adjudication.
- Drive improvements in initial claim decisions, claim management accuracy, and critical turnaround-time metrics.
- Identify root causes of performance issues and develop solutions that improve efficiency, accuracy, service quality, and innovation.
- Leverage automation and alternative sourcing approaches to increase operational capacity and streamline claims activities.
- Collaborate across lines of business to identify, share, and implement claims best practices.
- Serve as a subject matter expert for workstream initiatives, supporting timely and effective execution of strategic priorities.
- Mentor and coach claims professionals and peers, providing constructive feedback and supporting capability development.
- Promote a culture of open communication, continuous improvement, accountability, and customer-focused service.
- Identify, assess, and manage operational and claims-related risks while maintaining appropriate quality standards.
- Support day-to-day execution against key performance metrics and contribute to sustained improvements in claims operations.
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