Shire Jobs

LTD Claims Case Manager I

The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned

claims through proactive case management according to the plan provisions, state and federal guidelines, and

established protocols. This position consults with other team members, as well as, the Professional Resource

Team to assist claimants with return to work efforts when the capability and opportunity exist.

The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX;

Holmdel, NJ or remote.

You will

This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and

appropriate disability claim decisions while providing superior customer service to all internal and external

customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim

handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small

(2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure

appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for

ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults

with legal, investigative resources, and financial specialists.

A selected incumbent may be assigned to the Stable and Mature block as well.

You Have

Qualifications

· 4 year college degree preferred or equivalent work/education experience

· Regulatory and Compliance experience a plus

Functional Skills

· Excellent written and verbal communication skills

· Ability to exercise independent & sound judgment in decision making

· Ability to analyze evidence for discrepancies

· Ability to conduct research using multiple techniques

· Excellent time management & organizational skills

· Multitasking with the ability to manage continually changing priorities and ability to prioritize work

based on customer service needs and departmental regulations

· Self-motivated & able to work independently

· Ability to work collaboratively with multiple professional disciplines and with diverse populations

· Basic computer skills & knowledge, including Microsoft office

· Understanding of medical terminology and medical conditions helpful

Leadership Behaviors

· Continuously strives to provide superior products and customer service

· Expresses oneself in an open and honest manner

· Demonstrates self-awareness and embraces feedback

Partnering

· Consult with the Professional Resource Team area to assess functionality and return to work potential

by utilizing available resources

· Perform and complete timely change in definition investigations by utilizing the Professional Resource

Team and outside vendor assistance

· Partner with the Short Term Disability team on large group claims for early interventions when claims

are identified as having potential to transition to Long Term Disability in order to reduce potential risk

exposure

Reporting Relationships

This position reports to the Long Term Disability Team Leader, who in turn, reports to the Long Term Disability

Manager.

Location

· Remote work flexibility

Our Promise

· Through skill-building, leadership development and philanthropic opportunities, we provide opportunities

to build communities and grow your career, surrounded by diverse colleagues with high ethical standards

We Offer

· Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.

· Competitive compensation package.

· Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with

no wait period.

· Life and disability insurance.

· A great 401(k) with company match.

· Tuition assistance, paid parental leave and backup family care.

· Dynamic, modern work environments that promote collaboration and creativity to develop and empower

talent.

· Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit

you best.

· Employee Resource Groups that advocate for inclusion and diversity in all that we do.

· Social responsibility in all aspects of our work. We volunteer within our local communities, create

educational alliances with colleges, drive a variety of initiatives in sustainability.

About Guardian

Guardian has been helping people protect their futures and secure their lives for 160 years. Every day, we

serve approximately 29 million people through a range of insurance and financial products. We help people

and their families pursue financial security and well-being in life, health, and wealth. We help companies take

care of their employees. And we help people recover and thrive after unexpected loss.

From our founding in 1860, when a community of immigrants joined together to insure and protect their

businesses and families, doing the right thing for our policyholders and customers has guided everything we

do. Our dedication to customers has helped us remain one of the most highly rated in client satisfaction and

financial strength. And as one of the largest mutual insurance companies, we know what matters most:

putting the needs of our customers first. Because everyone deserves a Guardian. Learn more about Guardian

at www.GuardianLife.com.

© Copyright 2021 The Guardian Life Insurance Company of America, New York, NY

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without

regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry,

marital status, disability, military or veteran status, or any other classification protected by applicable law.

The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned

claims through proactive case management according to the plan provisions, state and federal guidelines, and

established protocols. This position consults with other team members, as well as, the Professional Resource

Team to assist claimants with return to work efforts when the capability and opportunity exist.

Salary Range

$40,160.00 - $60,237.50

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

Health Care

• Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

• Dental plan

• Vision plan

• Health care accounts – flexible spending, health reimbursement, and health savings accounts

• Critical illness insurance

Life and Disability Insurance

• Company-paid Life and Disability insurance plus voluntary supplemental coverage

• Accident insurance

Retirement and Financial

• 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

• Complimentary 1:1 financial guidance with a licensed Fidelity representative

Time Off and Remote Work

• Flexible work arrangements (part in-person/part remote)

• Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

• Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

• Paid parental leave and paid family and medical leave policies

Emotional Well-being and Work-Life

• Emotional well-being, mental health, and work/life resources powered by Spring Health

• Wellness programs, including fitness program and equipment reimbursement

• Child, adult, and elder back-up care support through Bright Horizons

• Adoption assistance

• College planning

• Tuition reimbursement

• Student loan assistance

• Commuter benefits in select metropolitan areas

Equity & Inclusion

Opportunities to build inclusive and meaningful connections through involvement in colleague-led affinity groups:

• Employee Resource Groups:

• Colleague Connection Committees

• Community Involvement Committees

A culture that encourages colleagues to bring their authentic selves to work

• Voluntary self-ID

• Pronunciation and phonetic spelling of names

Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com .

Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .