Premium Analyst

  • Full Time
  • Anywhere
  • Posted 2 weeks ago

Job Description

 

Waiver of Premium Analyst

Portland, OR

Remote, USA

Full time

REQ002860

At The Standard, you’ll join a team focused on putting our customers first.

Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.

We offer a caring culture where you can make a real difference, every day.

Ready to reach your highest potential? Let’s work together.

PRINCIPAL ACCOUNTABILITIES / ESSENTIAL FUNCTIONS:

Contribute to the company’s success through excellent customer service and meeting or exceeding performance objectives for the following major job functions:

Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for, and entitlement to waiver of premium; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes. Make and communicate waiver decisions for new and continuing claims and issue correct benefits when applicable.

Develop and execute a claim management strategy for each claim to appropriately contain claim liability and provide excellent customer service; ensure that each claimant’s ongoing and changing medical condition, vocational options, applicable policy provisions are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and claims are managed to the correct duration.

Respond to claim and account inquiries from claimants, policyholders, field personnel and other interested parties; resolve issues through effective oral and written communication and by involving appropriate people within, or outside, the department or company.

Ensure the company’s reserve liability is accurately established by identifying all applicable reductions and terminations and maintaining accurate claim and system data.

Approve claim decisions, claim management strategies and payments recommended by less-seasoned staff; provide training for the department, section and individuals.

 

ESSENTIAL FUNCTION REQUIREMENTS:

Demonstrated skills: Analysis and decision-making; customer service; organization and prioritization; express ideas and recommendations clearly in written and oral communication; accurate keyboarding and experience with personal computer applications.

Ability to: Analyze and apply medical, technical, contractual, and legal information to a wide range of waiver claims; train others individually and in small groups; organize workload to meet changing priorities and deadlines; use department’s automated claim adjudication and management systems; apply Federal, State and local laws and regulations affecting claim investigation, disability decision, and taxation of benefits, such as Fair Claim Settlement Practices Act, ERISA, Americans with Disabilities Act, and Federal, State and local tax withholding and reporting requirements.

QUALIFICATIONS:

Education: Degree in business, science or related field.

Experience: Demonstrated work experience with emphasis in analysis and decision making; accurate keyboarding and experience with personal computer applications , or the equivalent combination of education and/or relevant experience.

 

Note: The Standard is required to provide a reasonable estimate of the salary for this role when hiring a Colorado resident. The salary for employees working in Colorado in this role is listed below. The Standard’s package also includes incentive plan participation and comprehensive benefits including medical, dental, vision, retirement, and paid time off.

  • Please note, eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.

Salary Range:

$38,900.00 – $59,000.00

 

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

To apply for this job please visit standard.wd1.myworkdayjobs.com.