Disability Processor I

    • Job Tracking ID: 512935-711752
    • Job Location: Meridian, ID
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: November 15, 2019
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
    • Salary Type:: Hourly
    • Rate:: $12.14
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Job Description:

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

  • Reviews and determines eligibility of disability claims under client’s short-term disability plan.
  • Obtains necessary supporting documentation by using telephone and written contact with claimant and authorized personnel at employment.
  • Utilizes appropriate applications to determine benefit eligibility, compensation rate and expected recovery period.
  • Calculates benefit payments and applies applicable offsets.
  • Processes benefits on a weekly basis and adheres to strict payroll submission deadlines.
  • Adheres to internal guidelines on referring claim to medical review team.
  • Maintains on-line claim data along with paper file where applicable.
  • Documents and communicates claim decisions.
  • Provides daily/weekly updates to client on claim status.
  • Adheres to industry and client specific turnaround times.
  • Maintains satisfactory productivity.
  • Maintains 90% turnaround time for pending responses within in 5 business days.
  • Maintains 90% of all phone calls answered within 30 seconds.
  • Maintains 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.
  • Performs other duties as assigned or needed.

Experience and Skills:

  • High school degree or equivalent.
  • Minimum two (2) years related work experience with a strong customer service background.
  • 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.
  • Types 45 wpm, 10-key and computer knowledge.
  • 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.