Disability Processor

Southwest Service Administrators Inc; Phoenix (AZ); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Short-term disability

401K Plan including company match up

Long term Disability & Life/AD&D

Job summary

Southwest Service Administrators Inc. is seeking a Disability Claims Processor to review, analyze and process short-term disability claims from initial submission to finalization.

You will assess medical information, apply plan designs, maintain accurate coding, and determine ongoing entitlement while delivering exceptional customer service to Fund members.

Qualifications

• High School Diploma or GED required; medical billing/coding cert preferred.
• Experience with short-term disability claims desirable.
• Strong knowledge of medical terminology and documentation.
• Ability to type 40 WPM and 3,000 KPH; proficient with Excel/Word.
• Professional, client-focused approach with excellent communication.
• Ability to manage multiple tasks with deadlines and take initiative.

Responsibilities

• Review, analyze and process short-term disability claims from submission to finalization.
• Assess medical information to determine ongoing benefit entitlement.
• Apply plan designs accurately and maintain coding/processing records.
• Provide high-quality customer service and resolve complex issues escalated by members.
• Collaborate with teammates, attend trainings, and support team goals.

Skills

Disability claims knowledge

Attention to detail

Effective communication

Typing speed 40 WPM

Medical terminology

Independent work prioritization

Customer service

Education

High School Diploma/GED

Medical Billing & Coding Certification

Tools

MS Excel

MS Word

Job description

The Disability Claims Processor is responsible for reviewing, analyzing and processing disability claims. In addition, this position is responsible for making determinations to approve or deny short-term disability payments.ResponsibilitiesProcessingGain and maintain an understanding of the plan designs and effectively apply that knowledge to everyday processing.Effectively review and analyze short-term disability income claims, initial liability, and ongoing claim determinations from first submission to finalization.Analyze and assess claimant and medical information to determine entitlement of ongoing benefits and draw valid conclusions.Maintain complete and accurate coding and processing.Customer ServiceProvide high quality customer service to all Fund members.Respond to and resolve complex issues, including those escalated by members.Raise issues as appropriate to Team Supervisor or Department Manager.Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.TeamworkWork cooperatively with other team membersActively participate in team meetings and training activities.Perform additional responsibilities and projects as periodically assigned.Education/Certification:High School Diploma/GEDMedical Billing & Coding Certification (not required, but candidates with this qualification will be given preference)Skills/Abilities:Prior knowledge of short-term disability claims requiredAbility to maintain production and quality standardsSolid knowledge of medical terminologyMinimum 40 WPM and 3,000 KPH proficiencyKnowledge of MS Excel & MS WordProfessional, client-focused approach to colleagues and assignments.Strong oral and written communication skills with exceptional attention to details.Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.Strong dedication to follow-through on all tasks and assignments.Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.Ability to sit for long periods of time operating a computer keyboard.Employee Benefits ProgramCOMPANY PROVIDES:MEDICAL, DENTAL, VISIONSHORT-TERM DISABILITYFull coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.COMPANY PAID LONG TERM Disability & Life/AD&D coverage.401K Plan including company match up to 5%.COMPANY PAID additional pension plan entirely funded by the company.EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!Annual, automatic pay increases.Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.