Job Summary
Responsible for the application of policy provisions and information needs related to pre- and post-disability financial calculations on disability claims. Responsible for calculating pre-disability earnings, COLAs, deductions, offsets, overpayments, and underpayments in accordance with the provisions in the group disability policies.
Principal Duties & Responsibilities
- Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments, and other and ongoing financial work in accordance with the provisions in the group disability policies
- Responsible for the application of policy provisions related to pre- and post-disability financial calculations
- Provides an ongoing review of claimant return to work earnings calculations
- Reviews offset coding in the claims payment system for known offsets and adjusts as necessary
- Reviews and ensures the accuracy of the benefit components in the claims payment systems
- Reviews documentation and coding for the disability benefit taxability, including FIT, SIT, FICA
- Demonstrates strong communication around financial aspect of claim to be available to the Case Managers for calculation explanations
- Makes Policyholder/ Insured calls as necessary and appropriate to obtain missing financial information
- Performs other duties as required
Education & Experience Required
- High School Diploma
- Two to five years of work-related experience
- Experience and proficiency using Microsoft Office Suite software
Education & Experience Preferred
- Bachelor's Degree Business Administration or related field
Or an equivalent combination of education and experience
Job Knowledge & Skills
- Strong math aptitude required
- Proficient in Microsoft office products with strong Excel skills
- Strong teamwork skills
- Strong analytical skills with attention to detail
- Highly developed written and verbal communication skills
- Strong Customer orientation – focus and desire to provide excellent customer service
- Group Disability Experience, preferred
Competencies
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers -
- Supporting Change -
- Supporting Organizational Goals
- Working with Diverse Populations -
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