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Specialist, Claims Management (Disability and Leave Programs)United States, Georgia, AtlantaHr & Labor01-Jun-2022Ref #: 14960How you'll help us Keep Climbing (overview & key responsibilities)Manage the day to day administration of the Disability and Leave Programs.
Responsible for the oversight of claims management and communication with employees, managers, attorneys, and Third-Party Administrator (TPA).
Serve as professional subject matter expert in the area of Disability, Leave (FMLA, Military, state, corporate) benefits to all divisions and departments eligible for the programs, to include but not limited to Human Resources, Corporate Safety, Labor Relations, Legal, and Operational/Station Management.
Proactively provide guidance and ongoing education to internal and external customers on Delta Air Lines policies and procedures as it pertains to Disability, Leave and Workers’ compensation claims.
Assist in the education of internal business partners of the importance of early claim reporting, early return to work programs and other appropriate cost containment measures that will provide positive outcomes for all parties involved.
Identify trends in service concerns, recommend the appropriate course of action for improvement and development of vendor performance standards and adherence to contractual requirements.
Ensure that claims handling is conducted in compliance with applicable regulations, corporate policies and other legal requirements. Provide day-to-day oversight management of the TPA, interact with employees, associated providers, vendors, and defense counsel throughout the claims management process.
Practice safety-conscious behaviors in all operational processes and procedures.
What you need to succeed (minimum qualifications)Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered for U.S.-based job, if not currently employed by Delta Air Lines, Inc.
Bachelor’s Degree or equivalent work experience and five years of direct Disability and Leave Claims Management and/or TPA vendor oversight experience is required.
Must have the ability to prioritize their own work.
Experience in Access, Excel, MS Office suite of products, and SAP is required.
Ability to use Insurance Carrier/TPA data and claims management systems to analyze claim data.
Must possess understanding of technical claims procedures, medical protocols and Insurance Industry Best Practices. Have good judgment in interpreting medical facts presented by a physician and applying these facts in determining disability and an employee’s ability to return to work.
Excellent critical, logical-thinking, analytical, and research skills.
Must demonstrate clear, concise, and effective oral and written communication skills.
Convey moderately complex information (claim decisions, outcomes, etc.) to all appropriate parties, while maintaining a professional demeanor in all situations.
Ability to perform effectively under pressure with minimal supervision and within strict deadlines.
Ability to anticipate problems and suggest opportunities/solutions.
Must possess ability to effectively interact with a variety of individuals within the company, clients, carriers, and vendor organizations.
Must be versatile, resilient, responsive to change, and adapt to unexpected demands based on business needs. Should possess an overall knowledge of company policies and procedures.
Must possess time management skills, multi-tasking skills, project management skills and organizational skills with attention to detail.
Must be able to travel 30%-40%, when required. Must be performing satisfactorily in current position.
What will give you a competitive edge (preferred qualifications)N/ADelta Air Lines, Inc. is an Equal Employment Opportunity / Affirmative Action employer and provides reasonable accommodation in its application process for qualified individuals with disabilities and disabled veterans. If you are a qualified individual, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings through this site, apply for jobs through Delta’s online system, or at any point in the selection process. To request a reasonable accommodation, please click here
