Disability Benefits Specialist - Onsite Return-to-Work Expert

Crawford & Company; Overland Park (KS); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health benefits

Onsite work location

Collaborative team

Job summary

Crawford & Company in Overland Park, Kansas, is seeking a Disability Benefit Specialist to evaluate claims and determine benefit eligibility onsite. You will guide employees toward successful return-to-work strategies using your disability policy and medical/vocational insights.

The role requires at least a bachelor’s degree and 2+ years of STD/LTD adjudication, with strong communication and analytical skills.

Qualifications

• Bachelor's degree or equivalent experience required.
• 2+ years of STD/LTD claims adjudication
• Experience with FMLA/State leave claims is a plus
• Aptitude for learning medical terminology and conditions
• Knowledge of ERISA regulations, required offsets and deductions
• Experience in the TPA or self-administration services is desired
• Strong ability to identify, analyze and solve problems
• Effective interpersonal and communication skills

Responsibilities

• Manages assigned caseload of disability claims for Short Term/Long Term Disability.
• Communicates with claimants, employers, and medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
• Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate.
• Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.
• Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.
• Verifies ongoing disability and participates in claim reviews with specialized resources to discuss return to work opportunities as appropriate.
• Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards
• Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well -managed and seamless claims experience to claimants.
• Analyzes claims activity and prepares reports for clients/carriers and management as needed
• Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients.
• Serves as a resource for trainees and Claims processors as needed.
• Effectively works together in a team setting.
• Other duties as assigned.

Skills

Verbal communication

Written communication

Independent work

Interpersonal skills

Analytical thinking

Problem solving

Medical terminology learning

ERISA knowledge

Education

Bachelor's degree or equivalent experience

Tools

Excel

Word

Web-based systems

Job description

Crawford & Company in Overland Park, Kansas, is seeking a Disability Benefit Specialist to evaluate claims and determine benefit eligibility onsite. You will guide employees toward successful return-to-work strategies using your disability policy and medical/vocational insights.

The role requires at least a bachelor’s degree and 2+ years of STD/LTD adjudication, with strong communication and analytical skills.