PLADS LTD Benefit Specialist

Job Summary

Responsible for the application of policy provisions and information needs related to pre- and post-disability financial calculations on disability claims. Responsible for calculating pre-disability earnings, COLAs, deductions, offsets, overpayments, and underpayments in accordance with the provisions in the group disability policies.

Principal Duties & Responsibilities

 • Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments, and other and ongoing financial work in accordance with the provisions in the group disability policies

 • Responsible for the application of policy provisions related to pre- and post-disability financial calculations

• Provides an ongoing review of claimant return to work earnings calculations

• Reviews offset coding in the claims payment system for known offsets and adjusts as necessary

• Reviews and ensures the accuracy of the benefit components in the claims payment systems

• Reviews documentation and coding for the disability benefit taxability, including FIT, SIT, FICA

• Demonstrates strong communication around financial aspect of claim to be available to the Case Managers for calculation explanations

• Makes Policyholder/ Insured calls as necessary and appropriate to obtain missing financial information

 • Performs other duties as required

Education & Experience Required

• High School Diploma
• Two to five years of work-related experience
• Experience and proficiency using Microsoft Office Suite software

Education & Experience Preferred

• Bachelor's Degree Business Administration or related field

Or an equivalent combination of education and experience

Job Knowledge & Skills

 • Strong math aptitude required

• Proficient in Microsoft office products with strong Excel skills

• Strong teamwork skills

• Strong analytical skills with attention to detail

 • Highly developed written and verbal communication skills

• Strong Customer orientation – focus and desire to provide excellent customer service

 • Group Disability Experience, preferred

Competencies

• Acting with Integrity 
• Communicating Effectively 
• Pursuing Self-Development
• Serving Customers -
• Supporting Change -
• Supporting Organizational Goals
• Working with Diverse Populations -