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Disability Representative

  • Location: Schaumburg, 60173-5186
  • Salary: 28.37
  • Job Type:Contract

Posted 27 days ago

Long term contract Opportunity!
 
Title: Disability Representative
Location: Schaumburg, IL 60173
Term: 3 Months Contract


Day-to-Day Responsibilities:
 
  • Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan
  • Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan
  • Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians)
  • Communicates with the claimants providers to set expectations regarding return to work
  • Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets
  • Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions
  • Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence
  • Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system
  • Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims
  • Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities
  • Negotiates return to work with or without job accommodations via the claimants physician and employer
  • Refers cases as appropriate to team lead and clinical case management
  • Maintains professional client relationships
  • Performs other duties as assigned
  • Supports the organization's quality program(s)

Is this a good fit? (Requirements):
 
  • 3 years of benefits or disability case/claims management experience or equivalent combination of education and experience required
  • Bachelor's degree from an accredited university or college preferred
  • Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
  • Working knowledge of medical terminology and duration management
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Ability to work in a team environment
  • Excellent negotiation skills
  • Ability to meet or exceed Performance Competencies

If this sounds like the perfect fit, Apply Today!

 

Candidates will be responsible for following the client's COVID-19 protocols. Please refer to your MATRIX representative for specifics.

About Us

At MATRIX, we expertly match talented professionals with job opportunities to elevate careers. Since 1983, we have placed thousands of professionals at innovative clients across every industry ranging from small startups to Fortune 50 companies. It’s why we’re consistently in the top 25 of all U.S. IT staffing firms and why our consultants rate us well above the industry average, earning us ClearlyRated's Best of Staffing awards year after year. People come to us for a job, and stay with us because of our top-notch consultant care.

MATRIX is and Equal Employment Opportunity employer and provides reasonable accommodations for qualified individuals.  Supporting medical or religious documentation will be required where applicable. If you are a qualified individual with a disability, you may request a reasonable accommodation under the American Disability Act (ADA) by emailing MATRIX_HR@MatrixRes.com. To ensure a quick response to your request, please use the words “Accommodation request” as the subject line of your email.