Short-Term Disability Case Manager

Instant Teams is currently hiring 1 highly skilled and customer-focused Short-Term Disability Case Managers to join our remote team! In this position, you will be responsible for ensuring the timely, accurate, and customer-focused decisions and appeals for Short-Term Disability and/or Absence Management claims. A successful candidate will combine strong analytical skills and be able to handle a high caseload.

Day in the Life

• Claim Adjudication and Decision-Making:
  • Render timely and accurate decisions on new and ongoing STD and AM claims.
  • Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information.
  • Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently.
  • Maintain the confidence to make claim decisions independently.
• Case Management and Compliance:
  • Document the claims system comprehensively and accurately.
  • Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes.
  • Ensure full compliance with regulatory requirements and operational standards.
  • Meet or exceed all established claims team operational metrics.
• Customer and Partner Engagement:
  • Maintain a superior level of genuine caring and empathetic customer service in all interactions.
  • Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs.
  • Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale.

Must Have’s

• High School Diploma (Bachelor's Degree preferred)
• 1-2 years of job-related, Full Cycle, Short-Term Disability claims experience
  • Experience working with integrated claims (short-term, FMLA, etc.)
  • Preferred demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
• Demonstrated math proficiency in calculating and processing various employee compensation components (hourly wages, salaries, bonuses, time off). 
• Good understanding of medical terminology/pathology/anatomy
• Articulate verbal and writing skills, decision-making, meeting deadlines, and working with confidential information
• Moderate skills with Microsoft Office and other software applications
• Customer service skills
• Ability to manage stress, multitask, prioritize, and work effectively under pressure.
• High level of attention to detail
• Confidence to make claim decisions
• Results-driven orientation
• High attention to departmental/company procedures/practices

Position Info: 

• Pay: $25/hour
• Schedule
  • Training: Monday - Friday | 8am - 5pm EST (approx. 8 weeks in length)
  • Post-Training: Monday - Friday | 8am - 5pm EST
• Career Progression
  • This is a permanent position with Instant Teams and may result in a full-time, permanent position with the client based on performance and business needs. Additional details to be discussed during the interview process. 
• This position is 100% remote and provides equipment. 

Locations not eligible: 

• OCONUS
• California
• Illinois
• Iowa
• Missouri
• Montana
• New Hampshire
• Rhode Island
• Washington DC