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Disability Representative

  • Location: Tampa, Florida, 33637
  • Salary: 26.52
  • Job Type:Contract

Posted about 1 month ago

Terrific Opportunity!
 
Title: Disability Representative
Location: Tampa, FL 33637
Term: 6 Months Contract to hire


Description:
 
  • Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.
  • Determines benefits due, makes timely claims payments 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 for surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
  • Refers cases as appropriate to supervisor and management.
  • Negotiates settlement of claims up to designated authority level.
  • Maintains professional client relationships.

Experience and Education:
 
  • 2 years benefits or disability claims management experience or successful completion of Disability Representative training required
  • Completed High School (Diploma or GED)
  • Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
  • 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
  • Baccalaureate from an accredited university or college preferred

If this sounds like the perfect fit, Apply Today!