DI Benefits Specialist - Partial Stable Unit

Company: Northwestern Mutual
Location: Franklin
Posted on: September 16, 2022

Job Description:

At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference.

Summary

Coordinates a caseload for disability claims to determine eligibility for benefits. Position requires review of financial statements such as profit and loss statements, pay stubs and tax returns to resolve benefit eligibility and accurate payment of benefits. Analyzes and makes decisions on non-contestable disability income claims, which may require further investigation. Uses extensive financial, legal and contractual knowledge to interpret and analyze pertinent facts in making and presenting claim decisions. Periodically reviews medical and occupational information to resolve how claim should continue to be coordinated.

Primary Duties and Responsibilities

* Resolve applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability Benefits claim philosophy.


* Order and review appropriate financial, medical, investigative, and other information needed to resolve eligibility of claims.


* Handle claim files actively by evaluating claim information and making decisions regarding continuing payments, and terminations on a regular, ongoing basis.


* Communicate both verbally and in writing with insureds, field representatives, medical practitioners and related facilities, attorneys, other insurance companies, appointed financial advisors, employers, governmental agencies and divisional resources which involves negotiation and conflict resolution.


* Preserve Northwestern Mutual's image and reputation in making benefit decisions despite difficult and delicate circumstances.


* As part of the claim handling process, may be called upon to represent the Company in legal matters through preparation for and participation in depositions and trials.



Qualifications

* Bachelor's degree, experience in coordinating disability claims, or equivalent work experience.


* 1-3 years of responsible and meaningful work experience demonstrating analytical ability, independent decision-making and good judgment in the application of guidelines.


* Ability to collaborate within and across teams to acquire the best possible results.


* Excellent organization and communication skills with emphasis on written communication.



Skills-Proficiency Level:

Claims Auditing - Basic

Claims Processing - Basic

Communications Writing - Basic

Customer Care - Basic

Data Analysis - Basic

Healthcare Case Management - Basic

Privacy Compliance - Basic

Process Compliance - Basic

Recordkeeping - Basic

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We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law.

If you work or would be working in Colorado or outside of a Corporate location, please click here for information pertaining to compensation and benefits.

Keywords: Northwestern Mutual, Franklin , DI Benefits Specialist - Partial Stable Unit, Other , Franklin, Tennessee