LTD Claims Case Manager II

　　The Long Term Disability (LTD) Claims Case Manager II is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, and the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist.

　　The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX; Holmdel, NJ or remote.

　　You will:

　　This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults with legal, investigative resources, and financial specialists.

　　You Have:

　　Minimum two years of Long Term Disability claims experience

　　Four-year college degree preferred or equivalent work/education experience

　　Regulatory and Compliance experience a plus

　　Functional Skills

　　Excellent written and verbal communication skills

　　Ability to exercise independent and sound judgement in decision making

　　Ability to analyze evidence for discrepancies

　　Ability to conduct research using multiple techniques

　　Excellent time management and organizational skills

　　Multitasking with the ability to manage continually changing priorities and prioritize work based on customer service needs and departmental regulations

　　Self-motivated and able to work independently

　　Work collaboratively with multiple professional disciplines and diverse populations

　　Basic computer skills and knowledge, including Microsoft Office

　　Understanding of medical terminology and medical conditions helpful

　　Leadership Behaviors

　　Continuously strives to provide superior products and customer service

　　Expresses oneself in an open and honest manner

　　Demonstrates self-awareness and embraces feedback

　　Partnering

　　Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources

　　Perform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistance

　　Partner with Short Term Disability team on large group claims for early interventions when claims are identified as having potential to transfer to Long Term Disability in order to reduce potential risk exposure

　　Reporting Relationships

　　This position reports to the Long Term Disability Team Leader, who in turn, reports to the Long Term Disability Manager.

　　Location

　　Remote work flexibility

　　Salary Range

　　$48,190.00 - $72,280.00

　　The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

　　Our Promise

　　At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

　　Inspire Well-Being

　　As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

　　Health Care

　　Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

　　Dental plan

　　Vision plan

　　Health care accounts – flexible spending, health reimbursement, and health savings accounts

　　Critical illness insurance

　　Life and Disability Insurance

　　Company-paid Life and Disability insurance plus voluntary supplemental coverage

　　Accident insurance

　　Retirement and Financial

　　401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

　　Complimentary 1:1 financial guidance with a licensed Fidelity representative

　　Time Off and Remote Work

　　Flexible work arrangements (part in-person/part remote)

　　Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

　　Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

　　Paid parental leave and paid family and medical leave policies

　　Emotional Well-being and Work-Life

　　Emotional well-being, mental health, and work/life resources powered by Spring Health

　　Wellness programs, including fitness program and equipment reimbursement

　　Child, adult, and elder back-up care support through Bright Horizons

　　Adoption assistance

　　College planning

　　Tuition reimbursement

　　Student loan assistance

　　Commuter benefits in select metropolitan areas

　　Justice, Equity, Diversity & Inclusion (J.E.D.I.)

　　Employee Resource Groups that advocate for inclusion and diversity

　　J.E.D.I. certification and training programs

　　Matching gifts/volunteering

　　Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

　　Equal Employment Opportunity

　　Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

　　Accommodations

　　Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected] .

　　Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .