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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Long-Term Disability claims management, including a strong understanding of medical terminology and regulatory compliance. Proven ability to make independent decisions, provide exceptional customer service, and mentor team members while maintaining high operational standards.
Highest-signal resume keywords
Long-Term Disability Claims ManagementMedical TerminologyCustomer Service SkillsIndependent Decision-MakingRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims DocumentationClaims Management PlansNegotiation SkillsMultitaskingAttention to DetailDisability ManagementFederal RegulationsState RegulationsMicrosoft OfficeWriting Skills
Soft Skills
Empathetic Customer ServiceClear CommunicationCoaching and MentoringCollaborationResults-Driven
Industry Keywords
Disability ClaimsLTD IndustryConfidential InformationOperational MetricsClaimant TrustEmployer TrustHealthcare-Related FieldBusiness DegreeClaim TeamProject Participation
About the role
Key responsibilities & impact- Make timely, accurate, and customer-focused Long-Term Disability claim decisions for moderately complex to highly complex claims
- Handle the most complex claims from clinical and financial perspectives
- Obtain relevant clinical, vocational, employer, financial, and other information
- Compare information against contract terms, limitations, conditions, and applicable procedures to render claim decisions
- Accurately and comprehensively document claims systems
- Prepare, update, and use claim management plans
- Maintain regulatory compliance and operational standards
- Meet or exceed claim team operational metrics
- Provide empathetic customer service and build claimant and employer trust
- Work with internal partners to support flexibility, collaboration, professionalism, morale, and excellence
- Mentor and coach new team members
- Participate in projects supporting team business initiatives
- Perform other related duties as required
Requirements
What you’ll need- Must reside in Nebraska
- Strong understanding of disability claims management concepts
- Solid understanding of medical terminology, pathology, and anatomy
- Ability to clearly and concisely articulate and explain complex situations verbally
- Superior writing skills
- Confident independent decision-making
- Ability to consistently meet deadlines
- Proven ability to work with confidential information
- Moderate skills with Microsoft Office and other software applications
- High level of customer service and phone skills
- Strong ability to multitask and prioritize
- High attention to detail
- Results-driven
- Ability to follow departmental and company procedures and practices
- Ability to work independently
- Strong negotiation skills
- High school diploma or equivalent
- 5 or more years of LTD industry claims experience
- Demonstrated proficiency in STD, LTD, or Account Management product-specific areas and applicable federal and state regulations
- Or an equivalent combination of education and experience
- Bachelor's degree in Business or a healthcare-related field preferred
- 4 or more years of experience in the disability management industry managing claims preferred
Benefits
Comp & perks- Medical, dental, and vision coverage
- Prescription drug coverage
- Health care flexible spending account
- Dependent care flexible spending account
- Aflac supplemental Accident, Cancer, Critical Illness, and Hospital Indemnity policies at no cost to employees
- 401(k) plans
- Annual bonuses
- Opportunity to purchase company stock
- 11 paid holidays annually
- Up to 20 days PTO to be used for any reason
- State-mandated sick leave, if eligible
- Other leaves of absence, including adoption and parental leave, if eligible
- Remote work from home within the continental US
- Opportunities for future and continued salary growth
