matrix absence management short term disability

Ability to prioritize and manage changing workloads, meeting deadlines independently and through management of others. Responsible for assisting in reviewing and completing monthly reports Ability to interact and respond to both internal and external customers regarding claim results.

Ensures claim process consistency through continuous communication and feedback with the examiners/supervisor. Ensures achievement of specific customer service, quality and production objectives. Reviews claims to ensure that decisions related to eligibility, disability, offsets, benefit calculations and ongoing claim management are accurate and appropriate.

Develops and maintains strong working relationships with business partners. Supports all training and coaching activities through communications via phone, email and video follow-up with examiners/supervisors. Partners with Claim Operations leaders to review specific claims that fall within defined parameters to better understand claim trends, training opportunities, coaching opportunities, and/or performance management opportunities. Duties and Responsibilities: Supports the achievement of established departmental goals and objectives related to all claim operations in compliance with the Claim Organization’s standards Supports both the supervisor for team leadership, as well as the individual examiners to provide day-to-day guidance and workload balancing. Develop and apply appropriate claim and workflow management strategies, coordinating both disability and leave decisions while meeting timeliness regulations. Secure and analyze information to make and approve decisions on all short-term disability, insured or self-insured, and/or statutory claims and their concurrent leave claims. In this role, they would be accountable for the decision making process for determining eligibility under federal, state laws and client policy. In addition, the Claims Team Lead will act as an examiner when needed to balance workloads.

The Claims Team Lead will also be responsible for developing and sustaining excellent internal partnerships with other areas in the company. Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Responsible for supporting both the supervisor and examiners in the day-to-day operation of the claim team.

Matrix absence management short term disability