| Looking for Short Term Disability Case Associate || Remote || TCS at Cincinnati, Ohio, USA |
| Email: [email protected] |
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http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3263820&uid=a81507243b25450e8087e6c810171eb7 From: shweta, Quantum World Technologies Inc [email protected] Reply to: [email protected] Hello My name is Shweta Sharma and I am a Staffing Specialist at Quantum World Technologies Inc. I am reaching out to you on an exciting job opportunity with one of our clients. Role: Short Term Disability Case Associate Location: Cincinnati OH/ Hybrid/ Remote Duration: 6 months Pay Scale/Hourly Rate :DOE Role Descriptions: - To provide disability case management and claim adjudications| based on medical documentation and the applicable disability plan interpretation| including determining benefits due and making timely payments and adjustments. - Review and analyze medical information (i.e. diagnostic tests| office notes| operative reports| etc.) to determine if the claimant is disabled as defined by the disability plan.- Able to make required outreaches for missing claims documentations to employee| physicians| or employers.- Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines| in-house clinicians).- Partner with clinical and vocational resources to evaluate disability and support return to work goals.- Analyzes| approves and authorizes assigned claims and determines benefits due pursuant to a short term disability plan.- Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone andor written correspondence.- Reviews client critical deliverables| manages the overall workload| and second-level process escalation.- Determines benefits due| makes timely claims payments and or approvals and adjustments for Workers Compensation| State Short Term Disability| and other disability offsets.- Refers cases as appropriate to team lead and clinical case management.- Responsible for managing the day-to-day workload and first-level process escalation| and reviews processes for accuracy and timeliness where applicable in case of peer reviews.- Provide ideas to management on continuous improvement and service level management.- Performs other duties or participates in special projects as assigned.: Skills: Insurance - Disability Claims Experience Required: 4-6 Warm Regards Technical Recruiter Shweta Sharma Contact: 805-931-3020 Email: [email protected] Quantum World Technologies Inc. Keywords: access management Ohio Looking for Short Term Disability Case Associate || Remote || TCS [email protected] http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3263820&uid=a81507243b25450e8087e6c810171eb7 |
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| 07:37 PM 02-Apr-26 |