The Disability Claims Processor is responsible for reviewing, analyzing and processing disability claims. In addition, this position is responsible for making determinations to approve or deny short-term disability payments.
Responsibilities
Processing
- Gain and maintain an understanding of the plan designs and effectively apply that knowledge to everyday processing.
- Effectively review and analyze short-term disability income claims, initial liability, and ongoing claim determinations from first submission to finalization.
- Analyze and assess claimant and medical information to determine entitlement of ongoing benefits and draw valid conclusions.
- Maintain complete and accurate coding and processing.
Customer Service
- Provide high quality customer service to all Fund members.
- Respond to and resolve complex issues, including those escalated by members.
- Raise issues as appropriate to Team Supervisor or Department Manager.
- Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.
Teamwork
- Work cooperatively with other team members
- Actively participate in team meetings and training activities.
- Perform additional responsibilities and projects as periodically assigned.
Qualifications
Education/Certification:
- High School Diploma/GED
- Medical Billing & Coding Certification (not required, but candidates with this qualification will be given preference)
Skills/Abilities:
- Prior knowledge of short-term disability claims required
- Ability to maintain production and quality standards
- Solid knowledge of medical terminology
- Minimum 40 WPM and 3,000 KPH proficiency
- Knowledge of MS Excel & MS Word
- Professional, client-focused approach to colleagues and assignments.
- Strong oral and written communication skills with exceptional attention to details.
- Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
- Strong dedication to follow-through on all tasks and assignments.
- Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
- Ability to sit for long periods of time operating a computer keyboard.
Employee Benefits Program
COMPANY PROVIDES:
- MEDICAL, DENTAL, VISION
- SHORT-TERM DISABILITY
- Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
- COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
- COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
- 401K Plan including company match up to 5%.
- COMPANY PAID additional pension plan entirely funded by the company.
- EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
- Annual, automatic pay increases.
Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.
Requires prior short-term disability claims knowledge, medical terminology, MS Excel and Word, 40 WPM and 3,000 KPH proficiency, strong communication, organization, and independent multitasking skills.
Key Responsibilities
- processing claims
- analyzing information
- resolving issues
Skills & Tools
Microsoft Excel, Microsoft Word
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — Phoenix, Arizona, United States
- Salary: USD 37,440 – 48,880 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Retirement plan
About SOUTHWEST SERVICE ADMINISTRATORS INC
An administrator of employee benefit plans and disability claims. — Industry: Finance