What are the responsibilities and job description for the Disability Claims Specialist position at NJ Transit?
Job Overview
NJ Transit is seeking a highly skilled Senior Disability Claims Administrator to join our team. As a key member of our benefits department, you will be responsible for reviewing applications for temporary disability benefits claims and ensuring that required information is submitted and the appropriate medical documentation is received.
About the Role
- Review Applications: Carefully review applications for temporary disability benefits claims to ensure accuracy and completeness.
- Communicate with Employees: Communicate verbally and in writing with employees regarding their claims and provide them with clear guidance on what is expected to start or continue temporary disability benefits.
- Medical Documentation: Review medical documentation for accuracy, compliance, and duration of absence based on medical diagnosis for temporary disability claims.
- Set Claim Reserves: Set, maintain, and update temporary disability claim reserves.
- Authorize Payments: Authorize temporary disability claim payments in compliance with employee application, state law, collective bargaining agreement, medical diagnosis, and duration of absence.
Key Skills and Qualifications
- Experience: Four (4) years' experience in disability claims, medical environment, or other claims experience.
- Knowledge of State Law: Ability to apply state disability law to day-to-day situations and communicate the company position on each claim.
- Communication Skills: Must be able to communicate verbally and in writing with doctors and employees in a clear concise manner.
