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Role Description

This role involves performing financial calculations and ensuring accuracy in claims related to group disability policies.

• Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments, and other 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 the financial aspect of claims 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.

Qualifications

• High School Diploma or equivalent
• Two to five years of work-related experience or an equivalent combination of education and experience
• Bachelor's Degree in Business Administration or related field (preferred)
• LTD Group Product Knowledge (preferred)

Requirements

• 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)

Benefits

• Medical, dental, and vision coverage
• Prescription drug coverage
• Health care flexible spending
• Dependent care flexible spending
• Aflac supplemental policies (Accident, Cancer, Critical Illness, and Hospital Indemnity offered at no cost to employee)
• 401(k) plans
• Annual bonuses
• Opportunity to purchase company stock
• 11 paid holidays
• Up to 20 days PTO to be used for any reason
• State-mandated sick leave (if eligible)
• Compliance with all applicable leave laws