Standard Insurance Company Leave & Disability Examiner in Hillsboro, Oregon
If you want to make a positive difference and stand out from the crowd, you’ll fit in at The Standard (www.standard.com). Through our retirement plans and insurance products and services, we help people achieve financial well-being and peace of mind. Come join us and share our passion for serving our customers in a positively different way.
Secure and analyze information to make and approve decisions on all complexities of short-term disability and/or state disability insurance claims, and their concurrent leave claims (e.g. Family Medical Leave Act, statutory, company-specific, and other leaves). Develop and apply appropriate claim and workflow management strategies, to coordinate disability and leave decisions including timely and accurate communications. Provide responsive and caring customer service to employees, employers, and others.
Investigate, secure and analyze information pertaining to employees’ eligibility status, medical condition, occupational or employer requirements, contractual obligations and statutory regulations; to accurately determine eligibility for and entitlement to disability benefits and associated leaves. Identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while administering or tracking disability claims or leaves within prescribed timeframes and service expectations. Make and communicate eligibility and disability/leave decisions to employees and employers timely and accurately.
Develop and execute claim, disability, and leave management strategies and provide responsive and caring customer service; ensure that each employee’s ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied for and pursued, and used to reach timely and appropriate claim/leave resolution and so that claims/leaves are managed to the correct duration. Appropriately transition claims to Long Term Disability and other claimant coverages.
Provide accurate and appropriate claim information to claimants, policyholders, sales offices and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.
Education & Experience: Associate’s degree in business, science or related field. Two years of general office and customer service experience required. Two years leave, benefits or disability claim management experience, or the equivalent combination of education and/or relevant experience.
Knowledge & Skills: Applies acquired job skills and working knowledge of company policies.
Job Complexity & Judgment: Works on assignments that are semi routine. Works within defined procedures but is able to deviate from normal routine. Understands when to escalate issue if necessary.
Independence & Supv required: Typically receives general instructions on routine work. May require detailed instructions on new assignments. Follows established procedures.
Interaction & Influence: Contacts are typically limited to own department. Begins to build working relationships outside department.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.
For more information regarding your Equal Employment Opportunity applicant rights, click here.
Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.
Functional Job Title: Leave & Disability Examiner
Time Type: Full-Time
Req #: 16478
External Company Name: Standard, The