Appeals Case Manager

Job Summary

A company is looking for an Appeals Case Manager II.

Key Responsibilities

• Adjudicate assigned appeals for Group Life and Disability claims, ensuring compliance with ERISA
• Investigate claim issues and make accurate, non-biased appeal determinations
• Provide superior customer service through proactive outreach and maintain knowledge of ERISA guidelines

Required Qualifications

• Minimum of 5 years of Group Disability and/or Life claims experience
• At least 3 years of experience handling appeals or complex claims (preferred)
• Bachelor's Degree (preferred) or equivalent professional experience
• Demonstrated ability to manage multiple tasks in accordance with regulatory requirements
• Flexibility to adapt to changing business needs