Senior Disability Claims Administrator - Tandym

A long-standing company in NJ is seeking a Senior Disability Claims Administrator to support their operations in Maplewood, NJ. Please apply for more information.

Responsibilities:

• Review applications for temporary disability benefits (TBD) claims to ensure that required information is submitted and the appropriate medical documentation is received
• Review medical documentation for accuracy, compliance and duration of absence based on medical diagnosis for TDB claims
• Authorize TDB claim payments in compliance with employee application, state law, collective bargaining agreement, medical diagnosis and duration of absence
• Remain in contact with employees as required during authorized absence and ensures compliance with medical recommendations on TDB claims
• Attempt to resolve contractual disagreements prior to a grievance being filed regarding TDB benefit determination in conjunction with contracts, policies and past practices
• Perform other duties, as needed

Qualifications:

• 4+ years of experience in a Disability Claims, Medical environment, and/or other Claims-related role
• High School Diploma / GED
• Must be able to apply state disability law to day-to-day situations and communicate the company position on each claim.
• Familiarity with Automated Claims Management system
• Solid investigative skills
• Great interpersonal skills
• Excellent communication skills (written and verbal)
• Strong attention to detail
• Highly organized

Desired Skills:

• Knowledge of Medical terminology