At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference.
Investigate, analyze and make decisions on contestable and non-contestable disability income claims. Use extensive financial, medical, legal and contractual knowledge to interpret and analyze pertinent facts in making and communicating claim decisions.
Primary Duties and Responsibilities
Determine applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability Benefits claim philosophy.
Order and review appropriate medical, financial, investigative, and other information needed to determine the eligibility of claims.
Manage claim files actively by evaluating claim information and making decisions regarding approval, denial, 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.
Approval limits: $0-$6,000 contestable and non-contestable claims.
Bachelor's degree, experience in administering disability claims, or equivalent work experience.
1-3 years of responsible and relevant work experience demonstrating analytical ability, independent decision-making and sound judgment in the application of guidelines.
Ability to collaborate within and across teams to obtain the best possible results.
Excellent organization and communication skills with emphasis on written communication.
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
Pay Range - Start:
Pay Range - End:
Please note that this is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please click here for additional information relating to location-based pay structures.
Grow your career with a best-in-class company that puts our client’s interests at the center of all we do. Get started now!
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 California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits.
FIND YOUR FUTURE
We’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion.
Flexible work schedules
Employee resource groups