Senior Life Event Specialist

Unum Ireland; Chattanooga (TN); On-site; USD 53,000 - 101,000; Full time

Benefits offered by this job

Health, Vision, Dental

Short & Long-Term Disability

Generous PTO

401(k) employer match

Tuition reimbursement

Job summary

Unum in Chattanooga, TN seeks an advanced level technical claims adjudicator to manage complex short-term disability claims with FMLA/state leave expertise. You will deliver timely, accurate decisions and outstanding service to employees, employers, and healthcare providers.

The role requires independent judgment, strong analytical skills, and the ability to mentor teammates. This is a full‑time, on‑site position with competitive benefits and opportunities for career growth.

Qualifications

• Bachelor’s degree or equivalent work experience required.
• Strong analytical and problem‑solving abilities.
• Proven ability to exercise independent judgment in complex claim adjudication.

Responsibilities

• Timely and accurate adjudication of complex STD claims.
• Processing leaves related to employee health conditions.
• Provide technical coaching and mentor support to colleagues.
• Communicate rationale and maintain compliance with FMLA and state regulations.

Skills

Analytical skills

Independent judgment

Customer service

Communication

Education

Bachelor’s degree or equivalent

Job description

Job Posting End Date: November 30When you join the team at Unum, you become part of an organization committed to helping you thrive.Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:Award-winning cultureInclusion and diversity as a priorityPerformance Based Incentive PlansCompetitive benefits package that includes: Health, Vision, Dental, Short & Long-Term DisabilityGenerous PTO (including paid time to volunteer!)Up to 9.5% 401(k) employer contributionMental health supportCareer advancement opportunitiesStudent loan repayment optionsTuition reimbursementFlexible work environments*All the benefits listed above are subject to the terms of their individual Plans .And that’s just the beginning…With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!General Summary:General Summary:This position is an advanced level technical position responsible for the thorough, fair, objective, and timely adjudication of the most complex short-term disability claims in conjunction with providing technical expertise regarding FMLA and state leave regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers and health care providers.Principal Duties and Responsibilities:Timely and accurate adjudication of complex STD claimsProcessing of leaves associated with an employee’s own health conditionApply technical contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements and liability decisionsDetermine complex eligibility and availability of leave for integrated claims/leavesResponsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and effective communication of rationale for claims actionDetermine and generate appropriate communications to comply with FMLA and State regulations and customer proceduresFacilitate roundtables when consulted or manager is unavailableProvides technical coaching and mentor support to less experienced Benefit Center professionalsProvides Manager/Director with performance and development feedback for assigned menteesIs viewed as a role model, technical expert and leader within the team and Benefits CenterProvides coverage of daily tasks including customer inquiries and attending customer calls as needed and in times of management absenceVerify on-going liability and return to work opportunities as appropriateProvide excellent customer service by paying appropriate claims promptly and quickly and independently responding to all inquiries within Benefits service guidelinesDevelop relationships with Employer contacts, including HR administratorsCoordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentationEnsure timely referrals/notifications to other areas (i.e., LTD, medical assessments, etc) as appropriateEnsure a timely and well communicated transfer process when transitioning integrated claims from STD to LTD, ensuring a coordinated and continuous claims experience to employeesMaintain organizational service standards on all assigned claims and leavesBe familiar with specialized workflow requirements and performance standards for any assigned customersMay perform other duties as assignedJob Specifications:4-year degree preferred or equivalent work experience3 years or more years in the Leave or Disability Benefit Specialist roleMastery of all key responsibilities and job specifications of either the Leave or Disability Benefit Specialist rolesMedical background, Disability claim and/or leave management experience preferredAbility to exercise independent judgment and discretion in increasingly complex claim adjudication decisions.Expectation of increasing levels of skill and ability; ability to manage a wide variety of claims independently.Demonstrated success in developing and implementing return to work strategies.Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.Strong service and quality orientation.Possess strong analytical and problem-solving skillsMeets the standards for this position, as defined in the Talent Management framework~IN2#LI-TS2Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.$53,300.00-$100,700.00Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.Company:Unum