Disability Claims Examiner II
Disability Claims Examiner II examines and adjudicates short- and long-term disability claims to determine eligibility, benefits, and ongoing entitlement under plan provisions. Reviews medical documentation, occupational information, and financial records to evaluate the validity of claims. Being a Disability Claims Examiner II assesses plan definitions, regulatory guidelines, and clinical guidance to make accurate benefit determinations. Coordinates with claimants, physicians, and vocational or clinical resources to obtain and assess relevant information. Additionally, Disability Claims Examiner II calculates benefit amounts, manages offsets, and documents decisions and rationale within the claims system. Ensures compliance with ERISA, state regulations, and company service standards. Requires a bachelor's degree. Typically reports to a manager. The Disability Claims Examiner II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Disability Claims Examiner II typically requires 2-4 years of related experience.
Find out Job Distribution by:Years of Experience
Not enough data has been collected on this job title yet.
Education Level
Not enough data has been collected on this job title yet.
Company Size
Not enough data has been collected on this job title yet.
Industry
Not enough data has been collected on this job title yet.
