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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing long-term disability claims, including evaluating claim credibility, applying legal guidelines, and preparing written rationales for decisions. Strong communication and analytical skills are essential for effectively interacting with claimants and negotiating outcomes.
Highest-signal resume keywords
Claims ManagementAnalytical SkillsWritten CommunicationCustomer Service OrientationNegotiation Skills
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 ProcessingContractual Provisions ApplicationVocational Rehabilitation AssessmentInvestigative Tools UsageClaim Decision Rationale Preparation
Soft Skills
Critical ThinkingTeam CollaborationIndependent WorkCreative Problem Solving
Tools & Technologies
Claim-Paying System
Industry Keywords
Long-Term Disability ClaimsClaim Credibility EvaluationBenefit Payment ProcessesLegal GuidelinesClaims Procedures
About the role
Key responsibilities & impact- Manage and prioritize a group of long-term disability claims while maintaining appropriate documentation
- Obtain pertinent information to evaluate claim credibility
- Prepare written rationale for claim decisions based on contractual provisions and medical and occupational records
- Process claims for payment using the claim-paying system
- Assess vocational rehabilitation opportunities with vocational staff
- Use investigative tools
- Testify in court cases and provide depositions related to claim disputes
- Manage customer service, benefit payment processes and financial risk for assigned claims
- Apply contractual provisions, legal guidelines, claims procedures and protocols to determine claim acceptance or denial and benefit duration
- Communicate claim decision rationale clearly and sensitively to claimants
Requirements
What you’ll need- Excellent written and verbal communication skills with customer service orientation
- Ability to work independently and in a team environment
- Ability to conduct detailed claimant interviews
- Solid critical thinking skills
- Ability to negotiate with people
- Expert analytical skills
- Ability to think creatively and address the strengths and weaknesses of a claim and fine distinctions in contract language
Benefits
Comp & perks- Generous vacation and sick time
- Paid family, parental and adoption leave
- Medical coverage
- Company-paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Flexible, inclusive and collaborative work environment
- Career growth support
- Reasonable accommodations for qualified individuals with disabilities or special disabled veterans
