Claim Examiner

  • Full Time
  • Anywhere
  • Posted 1 week ago

Job Description

 

DI Claim Examiner REMOTE US

Boston, MA
Claims
R12564

THE OPPORTUNITY

We’re growing and our clients deserve the best. As a DI Claim Examiner, you will be responsible for adjudicating Individual Disability Income and Life Waiver of Premium claims of varying complexity.

THE IMPACT

As a Claim Examiner, you will collaborate with subject matter experts; you will proactively identify, solicit, and analyze information essential to the claim evaluation process, including but not limited to medical records, financial documentation, and occupational information; you will develop and implement investigative action plans; and make or recommend liability determinations in adherence with policy provisions.

THE TEAM

We deliver a personalized and exceptional claim experience for our customers through continuous process improvements and data and technology solutions. Our culture is one of collaboration, agility, engagement, diversity, and inclusivity, with focus on associate development. Our talented workforce includes claim examiners and specialists, nurse consultants, vocational rehabilitation consultants, consulting physicians and psychologists, and financial consultants.

Key Responsibilities Include:

  • Adjudicate disability income and life waiver of premium claims of low to moderate complexity in adherence with policy provisions
  • Demonstrate critical thinking and proactively address outstanding claim requirements
  • Recommend initial and ongoing liability determinations, authorize and issue benefit payments as appropriate
  • Demonstrate exceptional customer service skills, both oral and written
  • Respond proactively and timely with claimants and other stakeholders
  • Demonstrate the ability and desire to handle issues independently, seeking guidance in highly complex situations

MINIMUM QUALIFICATIONS

  • Associate’s Degree OR At least 2+ years of Individual Disability Income Claim Experience
  • At least 1 year of customer service experience
  • Proven, exceptional customer service skills through oral and written communications are required in accordance with internal and regulatory standards
  • Must be flexible, able to work independently, and self-driven
  • Detail focused with excellent time management skills

IDEAL QUALIFICATIONS

  • Associate’s or Bachelor’s degree
  • At least 3+ years of Individual Disability Income or Group Long Term Disability Claim experience
  • Investigative experience

POSITION LOCATION

  • Applicants currently within a commutable distance to MassMutual’s Springfield office will be required to work from the home office 2-3 days a week
  • If not within a commutable distance, this position will be 100% Remote

Salary Range

  • $55,0000 $65,000 + Annual Bonus & Competitive Benefits Package

#LI-CR41

#LI-REMOTE

MassMutual is an Equal Employment Opportunity employer Minority/Female/Sexual Orientation/Gender Identity/Individual with Disability/Protected Veteran. We welcome all persons to apply. Note: Veterans are welcome to apply, regardless of their discharge status.

If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.

To apply for this job please visit careers.massmutual.com.