Disability Processor I

    • Job Tracking ID: 512935-602523
    • Job Location: Meridian, ID
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: May 04, 2018
    • Years of Experience: Less Than 1 Year
    • Starting Date: June 18, 2018
    • Salary Type:: Hourly
    • Rate:: $12.14
Invite a friend
facebook LinkedIn Twitter Email


Job Description:

Are you ready for a new career path?

Are you looking for a company that values integrity, initiative, good judgment and teamwork?

As a part of our continued growth, we are searching for the right individual to join our team!

If you are an individual with a passion for helping people and a desire to learn a new career, our position may be for you .

We are looking for individuals to train in Disability Claims Processing with a strong desire to embrace and represent our unique culture founded on our Core Values of Integrity, Initiative, Good Judgment and Teamwork and our passion for changing lives through leadership development. .

There's an energy and excitement here, an opportunity to work with a diverse culture while sharing a goal to improve the lives of others, as well as our own. The result is a culture of performance that's driving the health care industry forward.

Job Summary

The Disability Processor I works independently in reviewing and determining eligibility of disability claims under the client’s short-term disability plan.  Accurately calculates benefit amount and communicates to claimant and client.  Provides professional customer service to claimant, client and co-workers.

 

Key Result Areas

 

  • Review and determine eligibility of disability claims under client’s short-term disability plan.

  • Obtain necessary supporting documentation by using telephone and written contact with claimant and authorized personnel at employment.

  • Utilize appropriate applications to determine benefit eligibility, compensation rate and expected recovery period.

  • Calculate benefit payments and apply applicable offsets.

  • Process benefits on a weekly basis and adhere to strict payroll submission deadlines.

  • Adhere to internal guidelines on referring claim to medical review team.

  • Maintain on-line claim data along with paper file where applicable.

  • Document and communicate claim decisions.

  • Provide daily/weekly updates to client on claim status.

  • Adhere to industry and client specific turnaround times.

  • Maintain satisfactory productivity.

  • Maintain 90% turnaround time for pending responses within in 5 business days.

  • Maintain 90% of all phone calls answered within 30 seconds.

  • Maintain 99% financial accuracy (total dollar of payment audited vs. total dollars found in error).

  • Availability to work some holidays, occasional weekends and occasional weekday overtime.

  • Perform other duties as assigned or needed.

     

 

Experience and Skills:

Minimum Qualifications

 

  • High school degree or equivalent.
  • Minimum two (2) years related work experience.

  • Solid analytical, critical thinking, problem solving skills and decision-making skills.

  • Ability to interpret and communicate disability contract language.

  • Solid mathematical skills.

  • Ability to work well independently and in a team environment.

  • Ability to initiate and prioritize regular work duties and projects.

  • Ability to work professionally and effectively with co-workers, claimants and clients.

  • Able to demonstrate excellent attendance and punctuality.

  • Excellent customer service attitude and professionalism.

  • Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT).

  • Exceptional verbal and written communication skills.

  • Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).

  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.

  • Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices.

  • Ensure compliance with security practices and procedures, including HIPAA and HITRUST standards.

  • Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.

  • Protect and enhance the Core Purpose and the Core Values of AmeriBen.

     

     

    AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment.  All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

     

    If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.