Exl Service

  • Disability Claims Manager (Non-Clinical)

    Job Location US-FL-Tampa
    ID
    2018-5952
    Group
    Operations Management (+HI)
    Type
    Regular Full-Time
  • Overview

     

     

    Why join EXL? 

    At EXL, we’re more than just an analytics, operations management, and technology Company. We focus not only on our outstanding Team Members, but on our growing industry as well.

    Headquartered in NYC, EXL has more than 27,000 professionals situated in locations throughout the United States, Europe, Asia, Latin America, and South Africa.

    Our EXL Team Members receive the benefit of:

    Valuable Compensation Package:

    • Competitive Wages
    • Work-Related Expense Reimbursement
    • Annual Discretionary Bonuses
    • Team Member Referral Bonuses

    Comprehensive Health & Welfare Benefits:

    • Group Medical, Dental and Vision Benefits
    • Flexible Spending Accounts and Health Savings Accounts
    • Generous Paid Time Off, Sick Days and Holiday Pay
    • Group Life Insurance, LTD and 401k Retirement

    Inviting Culture & Team-Oriented Philosophy:

    • Exciting Work Environment
    • Casual Dress Code
    • Monthly Team and Company Events
    • Team Member Appreciation Awards
    • Remote, Home-Based Opportunities
    • Opportunities for Upward Mobility

     

    As a Disability Claims Leader, you will need the knowledge and skills to conduct thorough investigations of disability claims. This is a fast-paced job where attention to detail counts. The Disability Claims Leader will have direct impact on claimant health, well-being and sense of security. This person must have the ability to make effective decision and communicate decisions within tight time frames, customer contracts, and corporate compliance are critical for success.

    Responsibilities

    Leadership/Coaching: Provides overall guidance to teams on a day-to-day basis. Coach teams to be able to identify inquiries and take appropriate actions.
    Career Development/Performance & Dialogue: Set goals and standards of performance for claims associate which are linked to business goals.
    Issue Resolution: Investigates and resolves issues as required – whether customer issues or team issues.


    As a Disability Claims Leader, You Are Responsible for:
    • Handle a team of 15 to 20 associates for medical retrieval, summarizations, for short-term, long-term, LTC, Waiver of Premium and Special Handling Unit products. The success of this work will be through capturing medical information, applying appropriate contractual provisions (scope of work), following legal guidelines, and support the team as a subject matter expert.
    • Having direct communication with various medical professionals to gather information regarding the claim for, short-term, long-term and rehabilitation disability benefits.
    • Support and promote all integration initiatives.
    • Handle potentially high levels of inbound correspondence from claimants and medical professionals. There correspondences maybe via written, faxed and/or emails response of the request for medical records. Also guide the disability claims associate as they perform task.
    • Network with both claimant and physicians to gather medical records, labs, diagnostic test and any other pertinent medical requests for review and ongoing evaluation of medical information. Also guide the disability claims associates performing task.
    • Delivery of clients expectations outlined in the scope of work (SOW).
    • Adherence to standard timeframes for processing mail, tasks and outliers as outlined in the scope of work. Also guide the disability claims associate performing task.
    • Understand Operations and Corporate Compliance, Policies and Procedures and Best Practices.
    • Stay abreast of ongoing trainings associated with role and business unit objectives.
    • Respond to all telephonic and email inquiries within client service protocols (SOW) in a clear, concise and timely manner. Also guide the disability claims associates performing task.

    Qualifications

     

    • Long Term Disability, Short Term Disability
    • Leadership skills
    • Strong interpersonal and demonstrated team-building and coaching skills
    • Proven teamwork and collaboration
    • Demonstrated analytical and clinical critical thinking skills.
    • In-depth knowledge and understanding of the Independent Medical Examination process.
    • In-depth knowledge and understanding of the High Level Review process.
    • Proven ability to organize and prioritize; demonstrated success in multitasking and managing multiple, competing priorities.
    • Strong ability to communicate at all levels with clarity and precision, both written and verbal.
    • Ability to adapt in a changing work environment.
    • Advanced technical/computer skills, including MS Word, Excel, PowerPoint, Share Point, etc.


    Education:

    Associate Degree
    Bachelor’s Degree preferred
    Degree from an institution that is fully accredited by a nationally recognized educational accreditation organization.

     

     

    EEO Statement

    EEO/Minorities/Females/Vets/Disabilities

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