DI Claim Specialist

DI Claim Specialist, DI Claims

Springfield Office, Fulltime (Hybrid)

Job Description

We’re growing and our clients deserve the best. As a DI Claim Examiner, you will be responsible for adjudicating Individual Disability Income and Life Waiver of Premium claims of varying complexity.

The Opportunity

As a Claim Examiner, you will collaborate with subject matter experts; you will proactively identify, solicit, and analyze information essential to the claim evaluation process, including but not limited to medical records, financial documentation, and occupational information; you will develop and implement investigative action plans; and make or recommend liability determinations in adherence with policy provisions.

The Team

We deliver a personalized and exceptional claim experience for our customers through continuous process improvements and data and technology solutions. Our culture is one of collaboration, agility, engagement, diversity, and inclusivity, with focus on associate development. Our talented workforce includes claim examiners and specialists, nurse consultants, vocational rehabilitation consultants, consulting physicians and psychologists, and financial consultants.

The Impact

Adjudicate disability income and life waiver of premium claims of low to moderate complexity in adherence with policy provisions

Demonstrate critical thinking and proactively address outstanding claim requirements

Recommend initial and ongoing liability determinations, authorize and issue benefit payments as appropriate

Demonstrate exceptional customer service skills, both oral and written

Respond proactively and timely with claimants and other stakeholders

Demonstrate the ability and desire to handle issues independently, seeking guidance in highly complex situations

Minimum Qualifications

Associates Degree or 2+ years of Individual Disability Income Disability, Group Long Term Disability, or Long Term Care Claim Experience

1+ years of customer service experience

Ideal Qualifications:

Associate’s or Bachelor’s degree

3+ years of Individual Disability Income, Group Long Term Disability, or Long Term Care Claim experience

Investigative experience

Proven, exceptional customer service skills through oral and written communications are required in accordance with internal and regulatory standards

Must be flexible, able to work independently and self-driven

Detail focused with excellent time management skills

What to Expect as Part of MassMutual and the Team

Regular meetings with the DI Claims Team

Focused one-on-one meetings with your manager

Access to mentorship opportunities

Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQ, veteran and disability-focused Business Resource Groups

Access to learning content on Degreed and other informational platforms

Your ethics and integrity will be valued by a company with a strong and stable ethical nosiness with industry leading pay and benefits

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Salary Range:$57,000.00-$71,800.00

At MassMutual, we focus on ensuring fair equitable pay, by providing competitive salaries, along with incentive and bonus opportunities for all employees. Your total compensation package includes either a bonus target or in a sales-focused role a Variable Incentive Compensation component.

Why Join Us.

We’ve been around since 1851. During our history, we’ve learned a few things about making sure our customers are our top priority. In order to meet and exceed their expectations, we must have the best people providing the best thinking, products and services. To accomplish this, we celebrate an inclusive, vibrant and diverse culture that encourages growth, openness and opportunities for everyone. A career with MassMutual means you will be part of a strong, stable and ethical business with industry leading pay and benefits. And your voice will always be heard.

We help people secure their future and protect the ones they love. As a company owned by our policyowners, we are defined by mutuality and our vision to put customers first. It’s more than our company structure – it’s our way of life. We are a company of people protecting people. Our company exists because people are willing to share risk and resources, and rely on each other when it counts. At MassMutual, we Live Mutual.

MassMutual is an Equal Employment Opportunity employer Minority/Female/Sexual Orientation/Gender Identity/Individual with Disability/Protected Veteran. We welcome all persons to apply. Note: Veterans are welcome to apply, regardless of their discharge status.

If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.

At MassMutual, we focus on ensuring fair, equitable pay by providing competitive salaries, along with incentive and bonus opportunities for all employees. Your total compensation package includes either a bonus target or in a sales-focused role a Variable Incentive Compensation component. For more information about our extensive benefits offerings please check out our Total Rewards at a Glance.

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