Disability Benefits Examiner

At The Standard, you’ll join a team focused on putting our customers first.

Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.

We offer a caring culture where you can make a real difference, every day.

Ready to reach your highest potential? Let’s work together.

JOB PURPOSE:

Secure and analyze claim information to make and approve disability decisions and payments on medium-complexity disability and/or state disability insurance claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of a significant volume of medium-complexity claims; provide responsive and caring customer service to claimants, policyholders, and others.

Principal Duties & Responsibilities:

Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for and entitlement to disability benefits for medium-complexity disability claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed time-frames and service expectations. Make and communicate disability decision and issue correct benefits for new and continuing claims.

Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide responsive and caring customer service; ensure that each claimant’s ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and so that claims are managed to the correct payment duration.

Provide accurate and appropriate claim information to claimants, policyholders, sales offices and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.

Ensure the company’s financial liability is accurately established by identifying all applicable deductible income and maintaining accurate claim payment and system data.

Approve claim decisions, claim management strategies, system data and payments recommended by less-seasoned staff; provide training for the department, teams and individuals; participate actively in miscellaneous projects or tasks as assigned.

Job Specifications:

• Education: Associate’s degree in business, science or related field.
• Experience: Two years of demonstrated progressively responsible experience in disability benefits administration or the equivalent combination of education and/or relevant experience. Attention to detail and accuracy; express ideas clearly in written and verbal form; prioritize tasks to meet multiple and changing deadlines; accurately keyboard 35 WPM.
• Professional certification required: N/A

Note: The Standard is required to provide a reasonable estimate of the pay rate for this role when hiring a Colorado resident. The salary for employees working in Colorado in this role is listed below. The Standard’s package also includes incentive plan participation and comprehensive benefits including medical, dental, vision, retirement, and paid time off.

• Please note, eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.

Hourly Pay Range:

19.09 – 32.40

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.