Life Waiver of Premium Claims Specialist for FPRS (Financial Protection and Retirement Solutions)

As the Life Waiver of Premium Claims Specialist for FPRS (Financial Protection and Retirement Solutions) you will play a key role in delivering meaningful experiences that support growthboth for your career and for our teams collective future. At Guardian we live our Purpose every day. As champions of wellbeing for ourselves our communities and our consumers we work together to turn whats possible into reality. We believe in your aspirations for purpose leadership and achievement in both your professional and personal life and this role provides the opportunity to bring those aspirations to life.

We will help build the core competencies you will need to be a successful Life Waiver of Premium Claims your first year we will provide extensive training in a highly supportive environment. If you have an internal drive to investigate using your critical thinking skills assessing policy matters and can manage competing priorities while meeting deadlines this is your opportunity to make a difference grow your career and be a part of moving the organization into the future.

You will

• Independently adjudicate Life Waiver of Premium disability claims including initial approvals continuations suspensions and terminations in accordance with policy language and established guidelines

• Evaluate medical vocational employer and functional evidence (e.g. APS medical records functional capacity information) to determine initial and ongoing waiver eligibility

• Apply Life insurance policy and rider provisions definitions and benefit eligibility criteria accurately and consistently to support sound claim determinations

• Identify gaps inconsistencies or insufficiencies in evidence and take ownership to request and obtain additional information as needed

• Develop clear wellreasoned written decision rationale that supports adjudication outcomes and withstands quality review audit or appeal scrutiny

• Manage an active inventory of waiver claims balancing timeliness quality regulatory expectations and customer experience

• Partner with internal resources (e.g. medical consultants field investigators) to resolve adjudication issues

• Communicate professionally and empathetically with policyholders physicians employers representatives and internal partners regarding claim status and decisions

• Exercise sound judgment and maintain composure when making difficult or adverse disability decisions in highpressure situations

• Collaborate within a teambased customerfocused environment to meet service quality and performance standards

You have

• A college or university degree or the equivalent work experience that provides knowledge and exposure to claims service or other principles and concepts

• At least two years of claim-related work experience (Individual Life Waiver of Premium or Disability Income Claims preferred)

• Experience and an interest in providing quality customer serviceboth written and telephonic

• An internal drive to investigate using your critical thinking skills to assess claim and policy matters

• Strong analytical skills with attention to detail

• Strong written and verbal communication skills

• Demonstrated experience prioritizing competing priorities with deadlines

• Working knowledge of Microsoft Office products including Word Excel and Outlook

Location

This is a hybrid role. If you are within close proximity to one of our Guardian hubsBethlehem PA; Pittsfield MA; New York City; or Boston MAyou will work in the office three days per week with Bethlehem or Pittsfield strongly preferred.

Salary Range:

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 addition to salary this role may also be eligible for annual sales or other incentive compensation.

Our Promise

At Guardian youll 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 Guardians Purpose to inspire well-being we are committed to offering contemporary supportive flexible and inclusive benefits and resources to our colleagues. Explore our company benefits at 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 also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individuals 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 . Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian refer to the Guardian Careers site.

Visa Sponsorship

Guardian is not currently or in the foreseeable future sponsoring employment order to be a successful applicant. you must be legally authorized to work in the United States without the need for employer sponsorship.

Notice Regarding Guardians Use of Artificial Intelligence in Recruitment

As part of Guardians job application process Guardian may use artificial intelligence tools (AI Tools) to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying as specified in the listing posted on Guardians jobs website (Careers at Guardian at At Guardian we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.

Please be aware that if you apply for a specific position with Guardian you will have the choice of opting out of Guardians use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation within ten business days of your position application you must email your request to making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardians document retention policy a copy of which you may request via .

Additionally at applicable times Guardian will make public the most recent bias audit results for such AI tools which may be found here.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.