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Lincoln Financial Group logo
Company Name:
Lincoln Financial Group
Approximate Salary:
Not Specified
Location:
Dover, NH
Country:
United States
Industry:
Position type:
Experience level:
Education level:

Short Term Disability Case Manager

About the Company

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas Life Insurance, Annuities, Retirement Plan Services and Group Protection focus on supporting, preserving and enhancing over 17 million customers lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $253 billion in assets under management as of December 31, 2017.

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

The Role

Under limited supervision, conducts the review and investigation, liability determination, and management of the more complex disability claims. Applies the appropriate contractual provisions; legal guidelines; case management resources; and claim procedures, concepts, principles, and protocols to risk manage most complex STD claims. Regularly exercises independent judgment in interpreting information. Uses disability claim system to manage and pay claims while meeting all service, timeframe, and productions standards. Acts as mentor and subject matter expert to other team members.

Functional Responsibilities

Research and Decision Making

  • Conducts investigations to determine whether or not to accept liability and to what degree. Approves or denies benefits accordingly.
  • Calculates the liability for each claim applying all appropriate offsets such as social security, workers compensation and third parties.
  • Continually assesses claim details to determine if claims are going to exceed case management authority guidelines.
  • Evaluates and refers appropriate claims to risk management resources such as Vocational Rehabilitation, Managed Care, Fraud, Social Security, and Subrogation.
  • Identifies, calculates, communicates, and follows-up on overpayments.
  • Manages claims within multiple funding arrangements.
  • Updates and accurately documents system and claim files on actions taken. Establishes future action plan and case direction.
  • Conducts investigations to determine whether or not to accept liability and to what degree. Approves or denies benefits accordingly.

Customer Support and Problem Solving

  • Communicates with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of STD benefits.
  • Responds to various written and telephone inquiries including eligibility, approval/denial determinations, status and continuation or closure of benefits.
  • Maintains the established customer service, production, and quality standards.
  • May be assigned to provide guidance and mentoring to others and projects assigned at manager's discretion.
  • Demonstrates advanced technical expertise through complex claims reviews, audits and reporting.

Requirements

Education

  • 4 Year/Bachelors Degree or equivalent work experience (4 yrs of experience in lieu of Bachelors)

Experience

  • A minimum of 2 years experience in disability claims that directly aligns with the specific responsibilities for this position.
  • Advanced knowledge of short-term disability claim management and medical terminology required.
  • Demonstrated decision making, communication, organizational, problem solving, negotiation, and computer skills required
  • Excellent writing, customer service and interpersonal skills necessary.
  • A demonstrated track record of consistently meeting and/or exceeding performance expectations
  • Possesses a bias for action and avoids workplace distractions
  • Drives performance targets to completion

This position may be subject to Lincolns Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Lincoln Financial Group (LFG) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-###-####.

Nearest Major Market:DoverJob Segment:Disability, Claims, Liability, Risk Management, Manager, Human Resources, Insurance, Finance, Management


Associated topics: attorney corporate, company, corporate attorney, court, courtroom, internal, lawyer, legal, legal affairs, llp

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