UNUM Eligibility Specialist in Chattanooga, Tennessee
Job Posting End Date: 04/11
Unum is a company of people serving people. As one of the world's leading employee benefits providers and a Fortune 500 company, Unum's financial protection benefits help protect more than 33 million working people and their families from the financial impact of illness or injury. Unum's three distinct, but similarly focused US businesses – Unum US, Colonial Life, and Starmount Life – are each a market leader in making disability, life, accident, critical illness, dental, and vision insurance accessible in the workplace.
Headquartered in Chattanooga, Tennessee, Unum has significant US operations in Portland, Maine, Worcester, Massachusetts, and Glendale, California with over 35 field offices nationwide. Colonial Life is headquartered in Columbia, South Carolina with over 40 field offices nationwide. Starmount Life is based in Baton Rouge, Louisiana, and is the dental and vision center of excellence for Unum in the US.
General Summary:Job Profile SummaryEligibility Specialist is responsible for technical expertise (FMLA and 100+ state regulations), the determination of eligibility for leaves and short-term disability claims and initial Navilink set up for each. This position is accountable for the accurate and efficient intake of new claims. The representative must exercise independent judgment and be fully versed on FMLA and applicable state leave laws as well customer specific processing requirements. Associates in this role will be interacting with claimants/employers and partnering with other business areas (Benefits Center, Contact Center, etc.); therefore, strong customer service / communication orientation is a core competency while demonstrating the ability to operate across various systems and product workflows
Principal Duties and Responsibilities
Complete processing of new leaves and complete all daily follow-ups assigned
Determine eligibility and availability of leave time for each employee requesting leave for FMLA, State, and applicable Corporate protections
Determine and generate appropriate communications to comply with FMLA and State regulations and customer procedures
Independently determine appropriate status of leave under FMLA and state leave regulations taking into consideration regulatory requirements, company-specific requirements.
Determine and provide initial Short-Term Disability eligibility evaluation
Systematic initiation of new claims in support of various Unum product types utilizing the appropriate claim adjudication system.
Perform a policy coverage search to determine claim filing eligibility and process/triage based on standard and/or customized policy instructions.
Manage pending/incomplete prior to triage/assignment to the corresponding claims organization/team.
Contribute to individual quality/production expectations to ensure the achievement of organizational turnaround time expectations.
Promote a positive customer service experience through prompt, accurate and courteous responses to internal and external customers’ expectations.
Continue to build additional knowledge and understanding of the Unum business
Participate in training/development of new staff.
Identify trends, issues and innovative ideas and partner in solutions.
Identify and capitalize on best practices to ensure consistency and optimal performance in a team based environment.
Identify and share process improvements to enhance customer service.
Demonstrate leadership by promoting a positive team environment which results in motivated and empowered peers.
Support various project work as needed.
May perform other duties as needed.
High school diploma or equivalent required. 4-year degree or similar experience preferred
Schedule for this role is 8-5EST, Monday – Friday. Although these will be the core hours, overtime may be requested/required outside of those hours.
Understanding of STD processes and work flows and insurance industry preferred
Demonstrate research and problem-solving skills
Ability to multi-task, with a demonstrated ability to work in a fast-paced environment handling a large volume of work
Action oriented, results driven and a team player that includes working with team members in a cross-site work environment
Possess an innovative mindset and is adaptable to change; ability to deal with multiple, concurrent and rapidly changing demands
Seeks out job challenges and opportunities to constantly improve skills
Strong interpersonal skills and customer relationship skills
Strong business communication skills (telephone, e-mail, written)
Knowledge of Windows; general keyboard and computer skills (Word, Excel, Access)
Decision making and analytical skills
Attention to detail and organizational skills
Strong work ethic with consistent job attendance history
Unum and its family of businesses offer world-class training and development, generous compensation and benefits packages, and a culture built on employee ideas.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
A Fortune 500 company, Unum’s family of 10,000 employees spans three countries and dozens of office locations. Our employees focus each day on delivering financial protection benefits to millions of workers and their families when they need it most.
The Unum enterprise includes Unum in the U.S. and U.K., Colonial Life and Starmount Life Insurance – each a market leader in making disability, life, accident, critical illness, dental and vision insurance accessible in the workplace.
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