STD Case Manager (Must Reside in NE)

About the Role

This is a remote role for an STD Case Manager residing in the NE region.

Key Responsibilities

• Maintain a superior level of genuine caring and empathetic customer service.
• Make timely, accurate, and customer-focused STD and AM new and ongoing claim decisions, focusing on risk management.
• Reach out to obtain relevant clinical, vocational, employer, financial, and other information.
• Compare claim information to contract terms, limitations, and conditions.
• Render claim decisions as quickly as possible.
• Document the claims system accurately and comprehensively.
• Prepare, update, and utilize a claims management plan for the most appropriate outcome.
• Remain in full compliance with regulatory requirements and operational standards.
• Meet or exceed claims team operational metrics.
• Work with internal partners to support flexibility and collaboration.
• Consistently maintain professionalism and integrity.
• Actively foster high morale and demonstrate a dedication to excellence.
• Perform other related duties as required.

Requirements & Tech Stack

• High School Diploma or equivalent.
• 0-2 years of job-related claims experience, or an equivalent combination of education and experience.
• Familiarity with disability claim management concepts.
• Superior customer service skills with a strong commitment to empathy.
• Ability to work independently in a remote environment while remaining engaged with the team.
• Good understanding of medical terminology/pathology/anatomy.
• Articulate verbal and writing skills.
• Strong decision making abilities.
• Ability to meet deadlines.
• Experience working with confidential information.
• Moderate skills with Microsoft Office and other software applications.
• Stress tolerance.
• Strong financial acumen.
• Ability to multi-task and prioritize in a fast-paced environment.
• High level of attention to detail.
• Ability to work well under pressure.
• Confidence to make claim decisions.
• Results-driven.
• High attention to departmental/company procedures/practices.

Qualifications (Preferred)

• Bachelor's Degree in healthcare or a related field.
• Demonstrated proficiency in product-specific areas of STD, LTD, or AM, as well as federal and state regulations governing these products and services.