LTD Claims Consultant

Guardian Life; Northern (KY); Hybrid; USD 59,000 - 96,000; Full time

Job summary

Guardian Life is seeking a LTD Claims Consultant for a remote role in the United States. You will provide technical support to claim teams, review authorizations, and act as SME on complex issues to improve claim delivery.

You will drive improvements in initial claim decisions, manage CID turnaround times, and collaborate across lines of business to implement best practices; travel is required as needed.

Qualifications

• Excellent verbal and written communication skills.
• Strong analytical, organizational, time management and problem-solving skills.
• Ability to prioritize and manage multiple tasks in a fast-paced environment.
• Proven training skills on an individual and team basis.
• Ability to mentor/coach staff and peers to ensure proper claim adjudication.
• Extensive knowledge of Group Long Term disability products, administration and claims procedures.
• Strong knowledge of PC Applications (including Microsoft Office, databases, imaging systems, etc.).
• 3+ years LTD claims handling experience, prior DI experience or equivalent experience required.

Responsibilities

• Provide Technical Support to Claim Teams including Claim Auth reviews, serve as SME on complex issues.
• Drive improvements in initial claim decision, Claim Management Accuracy and & CID turnaround times.
• Leverage automation and/or alternate sourcing options to handle additional tasks.
• Collaborate with all lines of business to promote best practices to improve efficiency.
• Serve as Subject Matter Expert to support timely and effective delivery of Workstream Initiatives.

Skills

Verbal and written communication

Analytical problem solving

Time management

Mentoring / coaching

Independent work

Team collaboration

Risk identification

Self-motivated

Disability claims knowledge

PC Applications (MS Office)

Tools

MS Word

MS Excel

MS PowerPoint

Databases

Imaging systems

Job description

## LTD Claims ConsultantApplyremote type: Fully Remotelocations: Remote - United Statestime type: Full timeposted on: Posted Yesterdayjob requisition id: R000109890Please note: This is a mobile position with preference given to candidates within commuting proximity to a Guardian office with the ability to travel to Guardian offices as determined by the People Leader.The LTD Claims Consultant is responsible for day to day execution to drive delivery of key metric results while increasing claim management accuracy and service delivery. The LTD Claims Consultant will develop and maintain a culture of continuous improvement by identifying root cause, problem solving, identify solutions to improve performance and innovation. The LTD Claims Consultant will report to the Technical Manager, Claims.You are* Continuously strives to provide superior customer service* Expresses oneself in an open and honest manner* Demonstrates self-awareness and embraces feedback* Foster and maintain a culture of open communication, continuous improvement and innovationYou will* Provide Technical Support to Claim Teams including Claim Auth reviews, serve as SME on complex issues* Drive improvements in initial claim decision, Claim Management Accuracy and & CID turnaround times* Leverage automation and/or alternate sourcing options to handle additional tasks* Collaborate with all lines of business to promote best practices to improve efficiency* Serve as Subject Matter Expert to support timely and effective delivery of Workstream InitiativesYou have* Excellent verbal and written communication skills* Strong analytical, organizational, time management and problem-solving skills* Ability to prioritize and manage multiple tasks in a fast-paced environment* Proven training skills on an individual and team basis* Ability to mentor/coach staff and peers to ensure proper claim adjudication and contribute to staff development* Ability to work independently and within a team* Demonstrated ability to identify and manage risk* Self-motivated* Extensive knowledge of Group Long Term disability products, administration and claims procedures* Strong knowledge of PC Applications (including Microsoft Office, databases, imaging systems, etc.)* Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims management* Excellent PC skills with knowledge of MS Word/Excel/PPT* 3+ years LTD claims handling experience, prior DI experience or equivalent experience required* Minimum 1 year experience providing feedback to front line staff and front-line supervisors.Location: This is a remote role, travel as needed.**Salary Range:**$58,620.00 - $96,300.00The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. **Our Promise** At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. **Inspire Well-Being** As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits. *Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.* **Equal Employment Opportunity** Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. **Accommodations** Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail]. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site. **Visa Sponsorship** Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future. **Notice Regarding Guardian’s Use of Artificial Intelligence in Recruitment** As part of Guardian’s job application process, Guardian may use artificial intelligence tools (“AI Tools") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian’s jobs website (Careers at Guardian at https://www.guardianlife.com/careers). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues. Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian’s use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to [e-mail], making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian’s document retention policy, a copy of which you may request via [e-mail].