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DI Claims Specialist
DI Claims SpecialistNorthwestern Mutual • Franklin, WI, US
DI Claims Specialist

DI Claims Specialist

Northwestern Mutual • Franklin, WI, US
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Primary Duties & Responsibilities

  • Determine applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability

Benefits claim philosophy.

  • Order and review appropriate medical, financial, investigative, and other information needed to determine the eligibility of

    • claims.

  • Actively manage a caseload of pending and active claim files by evaluating claim information and making decisions regarding

    • approval, denial, continuing payments, and terminations on a regular, ongoing basis.

  • Communicate both verbally and in writing with insureds, field representatives, medical practitioners and related facilities,

    • attorneys, other insurance companies, appointed financial advisors, employers, governmental agencies and divisional

    resources which involves negotiation and conflict resolution.

  • Preserve Northwestern Mutual's image and reputation in making benefit decisions despite difficult and delicate

    • circumstances.

  • As part of the claim handling process, may be called upon to represent the Company in legal matters through preparation for

    • and participation in depositions and trials.

  • Approval limits : $0-$6,000 contestable and non-contestable claims.

    • Qualifications

  • Bachelor's degree, experience in administering disability claims, or equivalent work experience.
  • 1-3 years of responsible and relevant work experience demonstrating analytical ability, independent decision-making and

    • sound judgment in the application of guidelines.

  • Ability to collaborate within and across teams to obtain the best possible results.
  • Excellent organization and communication skills with emphasis on written communication

    • Compensation Range : Pay Range - Start :

    $52,220.00

    Pay Range - End : $96,980.00

    Geographic Specific Pay Structure :

    170 - Structure 110 (Exempt) : 57,470.00 USD - 106,730.00 USD

    170 - Structure 115 (Exempt) : 60,060.00 USD - 111,540.00 USD

    We believe in fairness and transparency. It’s why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you’re living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.

    Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!

    Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.

    FIND YOUR FUTURE

    We’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging.

  • Flexible work schedules
  • Concierge service
  • Comprehensive benefits
  • Employee resource groups

    • PandoLogic. Category : , Keywords : Insurance Examiner

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    Claim Specialist • Franklin, WI, US

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