Standard Insurance Company Disability Benefits Analyst - Northwestern Mutual in Portland, 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 claim information to make and approve disability decisions and payments on disability claims. Develop, apply and approve appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of disability claims. Provide responsive and caring customer service to claimants, policyholders, and other internal and external customers; participate actively and effectively in team/department projects and issues.
Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status, and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes. Make and communicate disability decisions and issue correct benefits for new and continuing claims.
Develop and execute a claim and disability management strategy for each claim to appropriately manage claim liability and provide responsive and caring customer service; ensure that each claimant’s ongoing and changing medical conditions, vocational options, applicable policy limitations and provisions, and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; claims are managed to the correct payment duration.
Proactively communicate and respond to claim and account inquiries from claimants, policyholders, field personnel and other interested parties; resolve issues through effective oral and written communication and by involving appropriate people within, or outside, the department or company. May act as the primary client contact within Benefits and liaison with Operations and Sales on the installation, servicing, and renewal of disability clients. Client contact responsibilities may include analysis of claim/service trends and implementation of responses; creation of customer claim reports and communications to meet client needs; participation in renewal assessments and client visits. Effectively and professionally represent the company in all interactions.
Approve claim decisions, claim and disability management strategies and payments recommended by less-experienced staff; provide training for the department, team and individuals.
Ensure the company’s reserve liability is accurately established by identifying all applicable claim offsets and maintaining accurate claim and system data.
Education: Degree in arts & sciences, business or related field.
Experience: Minimum eighteen months progressively responsible experience in disability claims administration; or the equivalent combination of education and/or relevant experience.
Demonstrated skills: Appropriate, timely and customer-focused disability claim account management and administration; responsive and caring customer service; achieve results by effective use of all appropriate resources; model positive teaming behaviors in team and department interactions.
Ability to: Analyze and apply medical, technical, contractual and legal information to manage an increasingly complex range of disability claims; teach and model effective claim practices to others individually and in a classroom setting; manage claim and account trends as well as individual claims.
Working knowledge of: Federal, State and local laws and regulations affecting claim investigation, disability decision, and taxation of benefits, such as Fair Claim Settlement Practices Act, ERISA, Americans with Disabilities Act, and Federal, State and local tax withholding and reporting requirements; managed disability and claim management principles and practices including medical, vocational, investigative, financial analysis, legal issues, contract interpretation and application, company policies and guidelines.
Advanced knowledge of: Group disability claims and their administration; department practices and procedures; department’s automated claim adjudication and management systems and resources.
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: Disability Benefits Analyst - Northwestern Mutual
Time Type: Full-Time
Req #: 16637
External Company Name: Standard, The