Aetna LTD Benefit Manager in South Portland, Maine

Req ID: 43418BR

Please Note; this position can be located in the Portland, OR or Southern Portland, ME office. This is not a work-at-home opportunity.

POSITION SUMMARY

Achieve timely, accurate and thoroughly investigated disability decisions and appropriate ongoing management of disability claims and reserve liability.

Fundamental Components:

Manage an assigned block of moderately complex Long Term Disability claims to ensure prompt and accurate liability determinations and appropriate liability decisions by managing each claim duration based on contractual terms, medical conditions, and work capacity, while pursuing applicable offsets.

BACKGROUND/EXPERIENCE desired:

1-3 years Disability claim management experience;

Knowledge of Unfair Claim Settlement Practices Act, ERISA, ADA, and federal, state and local regulations affecting claim investigation, disability decisions, claim payment, taxation and reporting requirements.

Experience performing multiple calculations with a high degree of accuracy, and working in a multi-system (mainframe and Windows)

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Claims/Claim processing - Long Term Disability/1-3 Years

REQUIRED SKILLS

Service/Creating a Differentiated Service Experience/ADVANCED

Service/Handling Service Challenges/FOUNDATION

Service/Demonstrating Service Discipline/FOUNDATION

DESIRED SKILLS

Benefits Management/Understanding Clinical Impacts/ADVANCED

General Business/Communicating for Impact/ADVANCED

General Business/Maximizing Work Practices/ADVANCED

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Claim