Lincoln Financial Group Short Term Disability Claims Case Manager in Charlotte, North Carolina
Alternate Locations: Charlotte, NC (North Carolina)
Relocation assistance is not available for this opportunity.
About the Company
Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas — Life Insurance, Annuities, Retirement Plan Services and Group Protection — focus on supporting, preserving and enhancing over 17 million customer’s lifestyles and retirement outcomes.
Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $253 billion in assets under management as of December 31, 2017.
Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.
Under general supervision, conducts the review and investigation, liability determination, and management of disability claims. Depending on assignment, may manage either more complex short-term disability only claims or long-term disability only claims. Applies the appropriate contractual provisions; legal guidelines; case management resources; and claim procedures, concepts, principles, and protocols to risk manage claims. Regularly exercises independent judgement in interpreting information. Uses disability claim system to manage and pay claims while meeting all service, timeframe, and productions standards. Forwards claims on to more senior Case Managers if the complexity of the claims exceed the complexity responsibility and authority guidelines.
Duties and Responsibilities
Consultation and Analysis
Conducts investigations to determine whether or not to accept liability and to what degree. Approves or denies benefits accordingly.
Calculates the liability for each claim applying all appropriate offsets such as social security, workers compensation and third parties.
Continually assesses claim details to determine if claims are going to exceed case management authority guidelines.
Evaluates and refers appropriate claims to risk management resources such as Vocational Rehabilitation, Managed Care, Fraud, Social Security, and Subrogation.
Manages claims within multiple funding arrangements.
Updates and accurately documents system and claim files on actions taken. Establishes future action plan and case direction.
Communicates with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of STD or LTD benefits.
Responds to various written and telephone inquiries including eligibility, approval/denial determinations, status and continuation or closure of benefits.
Identifies, calculates, communicates, and follows-up on overpayments.
Maintains the established customer service, production, and quality standards.
May be assigned to provide guidance and assistance to others.
Education and Experience
High School Diploma or equivalent work experience (4 yrs of experience in lieu of Bachelors)
Communication, organizational, problem solving, and computer skills required.
Excellent writing, customer service, and interpersonal skills necessary.
Knowledge of insurance, medical terminology, and case management in same or similar discipline a preferred.
A demonstrated track record of consistently meeting and/or exceeding performance expectations
Possesses a bias for action and avoids workplace distractions
Drives performance targets to completion
Travel Type: National Domestic
Travel Amount: up to 10%
This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.
Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.
Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.