AMVETS Jobs

The Sr. Disability Claims Analyst will perform all activities associated with the settlement of claims on Individual Disability insurance policies and riders. Request medical, financial and occupational claim requirements, obtain appropriate claim documents, interact with clients, advisors and outside vendors. Review information submitted to identify disability status, benefit eligibility and benefits. Make claim payment and lead the claim over the life of the client's disability. This role will be hybrid in Minneapolis or Charlotte offices. Key Responsibilities Maintain relationships by providing clients and advisors with clear understanding of requirements and status of claim. Handle claim documents as they are received. Communicate clearly and completely regarding the handling of the claim. Adjudicate timely claim payments by settling the type and amount of the claim, verify status of the insurance policy and riders, confirm policy provisions. Request and analyze medical, financial and occupational claim requirements; coordinate investigative efforts ensuring appropriate referral of claims to internal resources and outside vendors. Provide thorough review of contestable claims. Thoroughly and accurately detail the claim file with subjective, objective, analysis and plan information. Understand and align with Fair Claim Handling requirements, state regulatory requirements, insurance law and legal/compliance procedures related to contracts and insurance claims in general. Identify claim risk and red flags, mitigating such risk during adjudication of the claim. Apply referral resources and vendors appropriately to monitor risk and claim costs throughout the life of the claim. Perform secondary review and approval of peer claims within authorization level. Handle claim referrals from team members and assist with complex claims as necessary. Provide peer feedback and input to manager. Provide input to improve processes and procedures; participate in improvement initiatives. Required Qualifications Associates degree or equivalent 3 to 5 years relevant experience Understanding of medical terminology, disability duration guidelines and medical management practices. Basic understanding of personal and business tax returns. Critical thinking skills: capture information, apply reasoning, and make sound decisions based on analysis, experience, and judgment Ability to collaborate and work effectively on a team. Excellent communication skills both written and verbal. Demonstrated problem solving and negotiation skills. Understanding of contract law. Excellent organizational skills and the ability to efficiently prioritize tasks.