Disability Benefits Claims Specialist (Remote-Eligible)

RPMGlobal; Oak Brook (IL); Hybrid; USD 53,000 - 59,000; Full time

Benefits offered by this job

Pension benefits

Medical and dental insurance

35-hour work week

One remote day per week after 1 year

Paid vacation and sick leave

Tuition reimbursement

Business casual attire

Job summary

IMRF is seeking a Disability Benefits Examiner to review applications and supporting documents, input data into the claim processing system, and support complex and routine disability claims. The role involves coordinating with external providers and IMRF departments to determine eligibility and benefit amounts.

The position emphasizes independent processing of most cases with supervision on the most complex claims, and customer service to members and employers.

Qualifications

• Customer service to IMRF members.
• Review and input information from IMRF forms.
• Collaborate with other IMRF departments and external providers.

Responsibilities

• Review and accurately input all information from IMRF forms and supporting documentation.
• Contact IMRF departments to obtain information and request corrections to resolve internal conditions.
• Contact employers, employees, physicians, hospitals, Social Security and workers' compensation carriers to determine eligibility, duration and amount of benefits.
• Review medical records to determine extent of disability for temporary/total and permanent claims and advise on pre-existing condition language.
• Approve temporary disability benefits and advise on eligibility for Total and Permanent disability.
• Provide customer service to employers, employees, medical providers, and other IMRF departments via written or telephone communication.
• Maintain a work in progress to meet service goals set by the Disability Manager.
• Provide information to vested members about retirement benefits and conduct service audits.
• Analyze initial claim applications to determine further information needs for approval/denial of disability benefits.
• Establish follow-up dates and methods for ongoing claims.
• Write letters to IMRF medical consultants summarizing facts of cases.
• Other duties as assigned.

Skills

Customer service

Data entry

Education

Associate degree or two years related experience

Job description

IMRF is seeking a Disability Benefits Examiner to review applications and supporting documents, input data into the claim processing system, and support complex and routine disability claims. The role involves coordinating with external providers and IMRF departments to determine eligibility and benefit amounts.

The position emphasizes independent processing of most cases with supervision on the most complex claims, and customer service to members and employers.