Short Term Disability Analyst I or II, DOE
Cambia Health Solutions

Job Info

---

Short Term Disability Analyst I, II or III, DOE- LifeMap
Portland, Oregon

The Short Term Disability Analyst reviews and adjudicates Group Life, Voluntary Life, STD and Voluntary STD, AD&D and Voluntary AD&D and Waiver Life claims. Provides prompt and accurate benefit payments. Provides responsive customer service to claimants, policyholders, plan offices, brokers, beneficiaries and agents.

At Cambia, our values are fundamental to achieving our Cause of transforming the health care industry. They guide our actions and bring diverse perspectives together to improve the health care journey better for those we serve. All eight values are equally important and linked to the others: Empathy, Hope, Courage, Trust, Commitment, Innovation, Collaboration and Accountability. These values are not just words on paper - we live them every day.

Hourly wage range: $16.00 - $19.00/hr

Responsibilities:

• Reviews and adjudicates low liability and lower maintenance Group Life, Voluntary Life, STD and Voluntary STD, AD&D and Voluntary AD&D and Waiver Life claims as assigned.
• Provides prompt and accurate benefit payments.
• Provides responsive customer service to claimants, policyholders, plan offices, brokers, beneficiaries and agents.
• Develops an understanding and working knowledge of LifeMap's group Life and Short Term Disability products, policies and contracts.
• Develops an understanding of the applicable contract/policy definitions, relevant provisions, clauses, exclusions, riders and waivers as well as statutory requirements. Becomes familiar with reference materials and tools regarding medical, vocational and disability issues.
• Develops an operating knowledge of the applicable disability claims system(s).Develops basic medical and technical claims skills and an understanding of claim practices and procedures.
• Develops skills, knowledge and awareness of tools & resources available to assist in developing effective RTW strategies on assigned claims.
• The Level I Life and STD Analyst will provide customer service support and generally be a first line of contact for incoming calls.
• Provides excellent customer service by paying appropriate claims promptly and quickly responding to all inquiries.

Minimum Requirements:

• Ability to utilize claim investigative techniques to identify and evaluate claim information in a fair and objective manner.
• Detail oriented; ability to analyze and research contract information.
• Demonstrated ability to make balanced decisions with the highest degree of integrity and fairness.
• Ability to express ideas and recommendations clearly and with a high level of professionalism in written and oral communications.
• PC skills; ability to operate effectively in an imaged environment.
• Ability to work with others in a highly collaborative team environment.
• Demonstrated ability to multitask and balance goals and priorities.
• Excellent customer service skills and problem solving skills, and basic math skills.
• Operating knowledge of claim payment systems preferred.

Normally to be proficient in the competencies listed above:

• The Short Term Disability Analyst would have a Bachelor's degree in health or business related field or equivalent job related work experience. Medical background and/or disability claim experience preferred.

• The Short Term Disability Analyst II would have a Bachelor's degree in health or business related field and 3 years job related work experience or equivalent combination of education and work experience. Claims analyst experience with emphasis in analysis, critical thinking, decision making, meeting deadlines and customer service preferred.

• The Short Term Disability Analyst III would have a Bachelor's degree in health or business related field and 4 years job related work experience or equivalent combination of education and work experience.

LifeMap employees are part of the larger Cambia Health Solution's family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

LifeMap is a life and disability insurance company, which offers additional benefits such as dental, vision, and short term medical coverage, to provide financial protection and access to care. People do business with us because of our high value products, our easy-to-understand language and our personalized service. We provide thoughtful guidance to help people choose the coverage they truly need through life's transitions.

Cambia Health Solutions is a nonprofit total health solutions company with community roots dating back to 1917. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and wellbeing of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check are required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

This job has expired.