Life Waiver Case Manager 1 at Guardian in Bethlehem, Pennsylvania

Job Description:

POSITION SUMMARY
The Life Waiver (LW) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, as well as the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist.

CANDIDATE RESPONSIBILITIES
This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling. The LW Claims Case Manager administers claims within a variety of group sizes ranging from small (2 lives) to large market (1000 lives). The LW Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. They must also determine insured earnings by reviewing payroll records, tax returns (including W2s), and partnership records and calculate life benefits according to plan provisions. The LW Claims Case Manager consults with legal, investigative resources, and financial specialists.

Reporting Relationships
This position reports to the Group Life Claims Team Leader who reports to the Group Life Claims Manager. CANDIDATE QUALIFICATIONS
Functional Skills

• Excellent written and verbal communication skills
• Ability to exercise independent & sound judgment in decision making
• Ability to analyze evidence for discrepancies
• Ability to conduct research using multiple techniques
• Excellent time management & organizational skills
• Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations
• Self-motivated & able to work independently
• Ability to work collaboratively with multiple professional disciplines and with diverse populations
• Basic computer skills & knowledge, including Microsoft office
• Understanding of medical terminology and medical conditions helpful

Leadership Behaviors
In addition to the above requirements, a candidate for this position must lead by example and demonstrate the following behaviors (including but not limited to):

• Uphold Guardian's commitment to ethical business practices.
• Follow through on commitments by continuously striving to provide superior products and customer service.
• Establish and maintain collaborative relationships that are mutually respectful.

Partnering

• Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources
• Consult with the Long-Term Disability Claims Case Manager if applicable

POSITION QUALIFICATIONS

• 4-year college degree preferred or equivalent work/education experience
• Regulatory and Compliance experience a plus

ABOUT GUARDIAN
Guardian has been helping people protect their futures and secure their lives for more than 160 years. Every day, we serve approximately 29 million people through a range of insurance and financial products. As one of the largest mutual insurance companies, we know what matters most: putting the needs of our customers first. Because everyone deserves a Guardian. Learn more about Guardian at guardianlife.com

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

© Copyright 2021 The Guardian Life Insurance Company of America, New York, NY.

Apply Now