What are the responsibilities and job description for the Claims Examiner I - SSL position at Reliance Standard?
Job Responsibilities and Requirements
The Claims Examiner I obtains and analyzes data for thorough, fair, objective, and timely adjudication of NY State Short Term Disability and Paid Family Leave claims. The goal of the position / role is to consistently pay the accurate amount for each claim in accordance with the current laws / regulations.
Research
- Develop an understanding and working knowledge of disability and paid family leave
- Develop an understanding of the applicable claim definitions and relevant provisions, clauses, exclusions, riders and waivers for the necessary requirements.
- Develop an operating knowledge of the applicable claims system(s).
- Develop basic claims skills and an understanding of claim practices and procedures.
- Utilizes most efficient means to obtain claim information.
Analysis and Adjudication
Case Management
Customer Service
REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND / OR RELATED EXPERIENCE
Required Knowledge, Skills, Abilities and / or Related Experience
Ability to Travel : None
COMPETENCIES
PHYSICAL REQUIREMENTS
If there are additional physical requirements not captured below, please provide a general overview of these requirements and HR will follow up if more detailed analysis is required.
When used in the description below, the following terms are defined as :
Occasional" : done only from time to time, but necessary when it is performed
Frequent" : regularly performed; generally an act that is required on a daily basis
Continuous" : typically performed for the majority of an employee's shift
Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Standard Life Insurance will provide qualified employees with a reasonable accommodation in accordance with applicable law.
CORE VALUES
All Reliance Standard Life Insurance employees are required to behave according to our core values :
We operate with honesty, transparency and trust.
We collaborate and communicate openly, free of politics and personal agendas.
We are empowered to achieve the company's mission and hold ourselves accountable.
We solve problems and advance by challenging the status quo.
We care about each other and our communities.
We have fun.
The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job.
The expected hiring range for this position is $22.41 - $28.02 hourly for work performed in the primary location (Farmington, NY). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future.
Work location may be flexible if approved by the Company.
What We Offer
At Reliance Matrix, we believe that creating a more diverse, equitable and inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you.
That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing.
Our Benefits :
EEO Statement
Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications.
LI-Hybrid #LI-AS1
Salary : $22 - $28
