Disability Claims Manager - Hybrid, Growth & Impact

Amalgamated Life; City of White Plains (NY); Hybride; USD 100 000 - 140 000; Plein temps

Avantages offerts par ce poste

Hybrid work environment

Commuter benefits

Training and development opportunities

Generous vacation and holidays

Résumé du poste

Amalgamated Life in White Plains, NY seeks a Manager, Group Disability Claims to lead a small team through the full claims lifecycle. You will review medical records, apply policy language, determine eligibility for benefits, and communicate outcomes to claimants.

The role emphasizes compliance with state regulations, fraud detection, and process improvements while collaborating with providers, AEBA, and employers to resolve complex cases.

Qualifications

• Bachelor's degree in insurance, healthcare, or related field or extensive work experience in disability claims.
• Ability to analyze complex information from contracts, terms, and exclusions.
• Deep understanding of insurance policies, medical terminology and disability regulations.
• Strong written and verbal communication with empathetic listening and customer service.
• Detail-oriented with meticulous claim assessment and documentation.
• Experience in absence/disability management and health benefits preferred.
• 2+ years experience managing others.

Responsabilités

• Review medical records and policy guidelines to assess claim validity and liability.
• Coordinate with providers, vocational experts, and AEBA referrals for IMEs.
• Interact with claimants to explain the process and provide updates.
• Ensure compliance with laws and company policies in claims processing.
• Identify potential fraud and resolve disputes with Appeals and regulators.
• Develop long-term strategies and implement best practices for efficiency.

Connaissances

Disability claims

Leadership

Analytical thinking

Regulatory compliance

Communication

Fraud detection

Team management

Stakeholder comms

Attention to detail

Formation

Bachelor's degree

Description du poste

Amalgamated Life in White Plains, NY seeks a Manager, Group Disability Claims to lead a small team through the full claims lifecycle. You will review medical records, apply policy language, determine eligibility for benefits, and communicate outcomes to claimants.

The role emphasizes compliance with state regulations, fraud detection, and process improvements while collaborating with providers, AEBA, and employers to resolve complex cases.