Disability Appeals Specialist
Company: VirtualVocations
Location: Sunnyvale
Posted on: November 20, 2024
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Job Description:
A company is looking for a Disability Appeals Specialist to
review adverse determinations for Short-Term and Long-Term
Disability claims.
Key Responsibilities
Manage the investigation of disputed Short-Term Disability (STD)
and Long-Term Disability (LTD) claims through the appeals
process
Assess medical, financial, and non-medical information to resolve
disputed claims
Provide comprehensive communication with insured individuals, plan
holders, and other parties regarding claim-related issues
Required Qualifications
High school diploma or equivalent; Bachelor's degree preferred
At least three years of experience with STD/LTD claims and product
management
In-depth understanding of state and federal compliance issues
related to claims and appeals, including ERISA
Familiarity with medical terminology and conditions
Proficiency with Microsoft Office, especially Outlook and Word
Keywords: VirtualVocations, Arden-Arcade , Disability Appeals Specialist, Other , Sunnyvale, California
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