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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in subrogation processes, including investigating and negotiating claims for STD and LTD, while effectively training and providing feedback to claims teams. Proficient in analyzing complex disability contracts and maintaining strong relationships with clients and vendors.
Highest-signal resume keywords
Subrogation InvestigationLTD and STD Claims ManagementNegotiation SkillsClaims Administration SystemsTPA Licensing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Disability Product Line ExperienceComplex Benefit CalculationsLiability EvaluationClaims AuditingAnalytical Problem-Solving
Soft Skills
Interpersonal CommunicationConflict ResolutionIndependent JudgmentCoaching and FeedbackMultitasking
Tools & Technologies
Microsoft Office SuiteExcelPowerPointWordOutlook
Certifications & Qualifications
TPA Licenses
Industry Keywords
SubrogationClaims WorkflowCivil LawCoverage ApplicabilityDisability Contracts
About the role
Key responsibilities & impact- Work with the subrogation vendor to investigate and pursue recoveries on STD and LTD claims
- Make decisions about liability and compensability, evaluate losses and negotiate settlements
- Train the Claims department, including LTD and STD teams
- Provide candid, meaningful feedback and coaching to Claims employees
- Interpret disability contract and policy language
- Calculate complex subrogation and monthly benefit calculations
- Negotiate claims to resolve them fairly and reduce liability for Fullscope RMS and client carrier partners
- Handle claim files through the various phases of subrogation
- Review coverage applicability and civil law, including local statutes
- Respond to written and verbal inquiries from claim-related parties
- Manage outside vendors and vendor costs
- Identify subrogation opportunities and obtain recoveries with the vendor
- Serve as a subject matter expert for third-party and subrogation matters
- Support claims workflow, departmental development, special projects and programs
- Conduct internal and external claims audits and training seminars
- Participate in developing internal policies and procedures
- Participate in industry and client meetings, presentations and training
- Complete special projects as necessary
- Maintain technical knowledge of policies and laws and build strong client and colleague relationships
Requirements
What you’ll need- Minimum 3 years of previous related work experience
- 5 years of LTD and STD experience
- Specific disability product line experience
- Excellent interpersonal skills for communication, negotiation and investigations
- Proven interpersonal, analytical and negotiation abilities
- Ability to provide information clearly and concisely and build effective relationships
- Ability to exercise independent judgment and make sound business decisions
- Advanced analytical and problem-solving skills
- Ability to multitask and independently prioritize competing demands
- Excellent conflict resolution skills
- Familiarity with claims administration systems
- Proficiency in Microsoft Office suites, including Excel, PowerPoint, Word and Outlook
- Must attain and maintain appropriate TPA licenses in accordance with the Claims Licensing Policy
Benefits
Comp & perks- Discretionary annual incentive award based on individual and business performance
- 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
