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DI Benefits Specialist

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

Summary

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 facts in making and presenting claim decisions.

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 medical, financial, investigative, and other information needed to resolve 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.

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 judgment in the application of guidelines.

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

  • Excellent organization and interpersonal 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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Candidates must successfully complete and pass any required testing.

Required Certifications:

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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 in Colorado or work remotely, please click here for information pertaining to compensation and benefits.


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