Disability Case Manager at ReedGroup Management, LLC in Bethlehem, Pennsylvania

Job Description:

**Training will begin for this class on January 4th **
 

ReedGroup understands the importance of protecting our applicants and employees during these uncertain times and recognizes the need to work remotely during the concerns related to COVID-19.  Virtual opportunities are currently available during the COVID- 19 pandemic.

 

There is a requirement to attend the paid-training for the duration of the training period.

 

Do you have the desire to be part of a growing and innovative team?  Is a culture where “People Count” and “We do the Right Thing” important to you? If so, ReedGroup is actively seeking compassionate, driven and service-oriented individuals to join our Operations Team as a Disability Case Manager.  You’ll need to be prepared to think on your feet while supporting individuals who are making major life decisions.  You’ll find yourself working with a committed group of colleagues who are not afraid of hard work or rapid change.  We go home every day knowing that the work we do really matters – we make a difference in people’s lives.

 

In this position you will find yourself working in a modern workspace (when we return to our offices) and in an environment with kind and caring peers and managers. We care about one another as well as the health and well-being of our clients and employees. We strive to accomplish our goals together and we celebrate successes by honoring you as an individual and as part of a larger team.

 

The Disability Case Manager (DCM) ensures high quality customer service in disability case management, by serving as the critical communication link between all parties involved in medical disability cases.  As the subject matter expert for client-specific absence plans, the DCM reviews medical documentation, claim decisions and utilizes clinical consultants, advisors and vocational rehab counselors on a variety of case management initiatives including medical disability durations, return to work obstacles and/or return to work planning and clinical guidance/education.

 
Essential Functions: 

• Act as subject matter expert for client-specific absence plans. When applicable, they research to gain necessary information applicable to the case management process.


• Ascertain probable optimal recovery duration based on MDGuidelines criteria.


• Demonstrate adherence to ReedGroup values and performance guidelines, including complete and accurate documentation.


• Manage production requirements, organize priorities, provide timely intervention and maintain sensitivity to confidential records.


• Ensure quality standards for case management are met. Implement ReedGroup’s continuous quality improvement process whenever efficiencies or quality standards are not met.


• Attend scheduled medical roundtables with clinical staff to present clinical trigger documentation to drive claim management.


• Proactively communicates with client employees as needed.


• Manage caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.


• Ensure quality standards for case management are met. Implements Reed Group’s continuous quality improvement process whenever efficiencies or quality standards are not met. 


• Drive return to work process from beginning of case to closure. 

Qualifications

• High School Diploma or GED required.  College is a plus


• 2 or more years of customer service experience required 


• Strong problem solving, oral and written communication skills to interact with claimants clearly, concisely, and persuasively.


• Knowledge of the Family Medical Leave Act and MD Guidelines preferred


• Basic knowledge of medical terminology


• Ability to prioritize work continually and produce a significant volume of work efficiently within performance standards


• Ability to work in a fast paced environment with short deadlines


• Ability to type 40+ WPM


• 
  Intermediate to advanced level of computer experience  

In addition to the start of a great career path, we offer our employees:

• Retirement and 401k


• Paid parental leave and backup family care


• Medical, dental, vision plans


• Life and disability insurance


• Paid Time Off (PTO)


• Wellness discounts


• 
  Tuition assistance 

About ReedGroup:
 

As the largest exclusive provider of absence management services, ReedGroup has been dedicated to helping employees return to work safely for more than 35 years. We create a seamless experience so clients can excel at their jobs and better serve their employees – supporting a thriving, engaged, and skilled workforce.

 

ReedGroup is a wholly-owned, independent subsidiary of The Guardian Life Insurance Company – providing even more ways we can better serve people. Guardian has been helping people protect their futures and secure their lives for more than 150 years, and today serves 27 million people by helping them find financial confidence and well-being in life, health, and wealth. And as one of the largest mutual insurance companies, we know what matters most:  putting the needs of customers first. 

 
Our promise:

• At Reed, you’ll have the support and flexibility to achieve your professional and personal goals.


• Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards

 

ReedGroup is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status or any other status protected by applicable law.

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