What are the responsibilities and job description for the Senior Disability Claims Specialist position at NJ Transit?
About NJ TRANSIT
">NJ TRANSIT is committed to delivering safe, reliable service that gets customers to their destinations on time. We are looking for talented professionals with a commitment to excellence to join our team.
Job Summary
The Senior Disability Claims Administrator reviews applications for temporary disability benefits claims to ensure that required information is submitted and the appropriate medical documentation is received.
Key Responsibilities
- Reviews applications for temporary disability benefits (TDB) claims to ensure accuracy, compliance, and duration of absence based on medical diagnosis.
- Communicates verbally and in writing with physician's office regarding questions, concerns in relation to the medical diagnosis, and duration of absence for TDB claims.
- Sets, maintains and updates TDB claim reserves.
- Applies knowledge of collective bargaining agreements, medical diagnosis (not treatment), and case law in order to determine monetary value of a TDB case for reserve purposes.
- Authorizes TDB claim payments in compliance with employee application, state law, collective bargaining agreement, medical diagnosis, and duration of absence.
