Our client, located in Irving, TX is seeking an experienced Disability Claims Representative for a temporary opportunity.
Pay: $18-$24 per hour depending on experience
??? Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.
??? Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
??? Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions.
??? Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.
??? Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.
??? Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
??? Evaluates and arranges appropriate referral of claims to outside vendors for surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
??? Refers cases as appropriate to supervisor and management.
??? Negotiates settlement of claims up to designated authority level.
??? Maintains professional client relationships.
Working hours: 8:30 AM - 4:00 PM
-Two (2) years benefits or disability claims management experience or successful completion of Disability Representative training required.
-Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
-Excellent oral and written communication, including presentation skills
-PC literate, including Microsoft Office products
-Analytical and interpretive skills
-Strong organizational skills
-Ability to work in a team environment
-Excellent negotiation skills
-Ability to meet or exceed Performance Competencies
Please apply online for immediate consideration!
***Candidates must be willing to submit to background and drug screenings***
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