Appeals Case Manager II

Job description

As the Appeals Case Manager II, Group Disability Claims you are responsible for adjudicating assigned appeals for Group Life and Disability claims . The ACM 2 provides a full and fair reconsideration review , as required under the Employee Retirement Income Security Act (ERISA), by thoroughly assessing the claim file and applying plan prov isions in accordance with applicable state and federal regulations. This role supports Group Short-Term Disability, Long-Term Disability and Life Waiver of Premium appeals. You are: A highly motivated and reliable individual who is able to work with varying levels of supervision – independently or collaboratively. You are detail-oriented a nd a decisive decision maker who is able to manage multiple priorities at the same time with a positive attitude. You have: A minimum of 5 years of Group Disability and/or Life claims experience. A minimum of 3 years of experience handling appeals or complex claims (preferred). Bachelor’s Degree (preferred) or equivalent professional experience. A client focus with excellent verbal and written communication skills. Strong problem-solving, analytical , math aptitude and information research skills. Demonstrated...