Claims Administrator I ( STD Case Specialist )

Step into a role where your compassion and analytical precision directly restore peace of mind for individuals during some of their most challenging times. Partnering with Aquent, you will join a premier global financial services organization dedicated to delivering superior support and making a tangible difference in communities worldwide. In this dynamic position, you will be the driving force behind the timely and accurate resolution of short-term disability claims, ensuring that clients receive the essential care and benefits they need when they need it most. Your dedicated work will not only protect livelihoods but also brighten lives through exceptional, empathetic service.

About the Partner and Client

Aquent is proud to partner with a leading financial services organization dedicated to making a tangible difference in the lives of individuals, families, and communities worldwide. This organization fosters a dynamic, inclusive environment where diverse backgrounds and perspectives are celebrated, empowering every team member to reach their full potential. You'll join a collaborative team of experts and leaders committed to inspiring your growth, contributing to a mission that brightens lives by delivering superior service and support to clients at every turn.

The Opportunity

In this pivotal role, you will be at the heart of service delivery, making critical decisions that provide essential support to individuals when they need it most. Working in a fast-paced, exciting environment, you will have the autonomy to manage your caseload while remaining an integral part of a collaborative, supportive team. Your keen eye for detail and empathetic approach will ensure claims are resolved accurately and efficiently, directly contributing to client satisfaction and the organization's commitment to excellence.

What You'll Do

• Work both independently and collaboratively to deliver exceptional service to clients and claimants.
• Review claims thoroughly and make final determinations regarding benefit approval or denial.
• Authorize claim payments within established limits, leveraging appropriate guidelines.
• Evaluate duration guidelines and recommendations from clinical and vocational resources to determine the correct disposition of claims.
• Document and act on strategic assessments to ensure claims are adjudicated efficiently and accurately.
• Interpret contracts to ensure fair and consistent claims practices, adhering to all relevant laws, regulations, and procedures.
• Gather necessary supporting documentation to substantiate disability claims and communicate effectively with employers, claimants, physicians, attorneys, and other relevant parties.
• Contribute to other related duties, such as supporting claims staff or assisting with special projects, as business needs arise.

What You'll Bring

• 1+ years of experience in customer service or financial services.
• Strong mathematical aptitude for precise calculations and claim payments.
• Excellent judgment and decision-making skills to adjudicate claims in line with policy provisions.
• Proven ability to comprehend and interpret legal and medical terminology for claim decisions.
• Exceptional organizational skills and the capacity to effectively manage multiple tasks in a fast-paced environment.
• Ability to communicate effectively with internal and external contacts while handling highly confidential information.
• A strong client service focus, always seeking solutions.
• Effective analytical and problem-solving capabilities.
• Resilience, adaptability, and the ability to work successfully both autonomously and collaboratively.
• Outstanding written, verbal, and interpersonal communication skills.
• Demonstrated ability to meet deadlines with a high degree of accuracy and attention to detail.
• Proficiency in end-user computing, including MS Office Outlook, Word, and Excel, with the ability to quickly master new computer applications.

What Will Set You Apart

• Associate or Bachelor's degree.
• Prior claim management experience.