STD Case Specialist

Location: Wellesley MA

Onsite Flexibility: Remote

• Position Type: Contract
• Contract Duration: 6 months (with potential for extension or conversion to FTE depending on business needs)
• Pay Rate: $30.00 / Hour (USD)
• Shift / Schedule: Monday Friday 8:30 AM 5:00 PM EST
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Come join a fantastic team in a fast paced and exciting work environment! Short Term Disability Case Specialists I are responsible for managing routine claims where duration guidelines and/or Clinical resources will assist in determining benefit periods.

• Work autonomously and in a team environment to ensure superior service to clients and claimants. Review claims and make final determinations of benefit approval or denial. Approve payment of claims within established limits utilizing Advance Pay and Close guidelines when appropriate.
• Review duration guidelines and/or recommendations made by Clinical and/or Vocational resources to determine the proper disposition of claims.
• Document and act on Strategy Assessments to ensure that determinations are adjudicated in a timely accurate and efficient manner.
• Interpret contracts and ensures consistent fair claims practices and adherence to appropriate laws regulations and procedures.
• Obtain backup documentation as necessary to substantiate a disability or communicate via telephone with employers claimants physicians attorneys and other resources.
• You may handle other related duties such as providing support to other Claims staff or assist in special projects or assignments as a result of business needs.

• Strong mathematical skills for calculations and claim payments.
• Judgment and decision making skills to adjudicate claims in accordance with policy provisions.
• A proven ability to comprehend and interpret legal and medical terminology in order to make final decisions to approve or further review claims.
• Excellent organization skills and an effective ability to multi-task.
• Effective communication with internal and external contacts and exposure to highly confidential information.
• Client service focus with a solution orientation.
• Effective analytical and problem solving skills.
• Ability to successfully cope in a fast-paced and demanding environment.
• Skilled at working autonomously regarding individual accountabilities and effectively in a team environment.
• Excellent written and verbal communication skills.
• Strong interpersonal skills.
• Demonstrated ability to work to deadlines with a high level of accuracy and attention to detail.
• Regular reliable and predictable attendance on a full-time basis is also an essential function of this job.
• End user computing skills including proven proficiency in MS Office Outlook Word and Excel.
• Able to learn various computer applications.

• Associate or Bachelor degree
• Claim management experience

• Associate or Bachelor degree would be an advantage.

• 1 year of customer service or financial services experience.

• Medical Vision and Dental Insurance Plans
• 401k Retirement Fund

• As part of the interview process candidates will be interviewed verbally. Interview questions must not be shared with candidates in advance under any circumstances. Candidates must provide their responses during the live verbal interview.

This client is a leading global financial services organization operating across insurance investments and asset management with a presence serving individuals families and communities around the world. The organization employs a broad range of professionals including claims specialists case managers financial analysts and client service representatives who collaborate across dynamic fast-paced teams.

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking financial services technology life sciences biotech utilities and retail sectors throughout the U.S. and Canada.

Job Number: 26-14846