The Technical Consultant is responsible for day to day execution to drive delivery of key metric results while increasing claim management accuracy and service delivery. The Technical Consultant will develop and maintain a culture of continuous improvement by identifying root cause, problem solving, identify solutions to improve performance and innovation. The Technical Consultant will report to the Technical Manager, Claims.
You will
Provide Technical Support to Claim Teams including Claim Auth reviews, serve as SME on complex issues
Drive improvements in initial claim decision, Claim Management Accuracy and & CID turnaround times
Leverage automation and/or alternate sourcing options to handle additional tasks
Collaborate with all lines of business to promote best practices to improve efficiency
Serve as Subject Matter Expert to support timely and effective delivery of Workstream Initiatives
Demonstrate ability to identify and manage risk
Continuously strives to provide superior customer service
Expresses oneself in an open and honest manner
Demonstrates self-awareness and embraces feedback
Foster and maintain a culture of open communication, continuous improvement and innovation
Reporting Relationships
Technical Manager, which, in turn, reports to the Assistant Vice President, Group Claims.
You have
3 years LTD claims handling experience, prior DI experience or equivalent experience required
Minimum 1 year experience providing feedback to front line staff and front-line supervisors.
Excellent verbal and written communication skills
Strong analytical, organizational, time management and problem-solving skills
Ability to prioritize and manage multiple tasks in a fast-paced environment
Proven training skills on an individual and team basis
Ability to mentor/coach staff and peers to ensure proper claim adjudication and contribute to staff development
Location & Vaccination Requirements
The primary location for this position is Bethlehem, PA, Plano, TX, or Homdel, NJ, with work from home flexibility.
Covid - 19 vaccinations required for this position.
Any offer of employment will be contingent upon the candidate's affirmation of being Full Vaccinated prior to commencing employment in the new role. New hires will have five business days from their start date to provide proof of vaccination through our Vaccination Status Confirmation Form. "Fully Vaccinated" means that at least two weeks have elapsed since you received the recommended number of doses of any COVID-19 vaccine that is currently fully approved, or authorized for emergency use, by the Food and Drug Administration or that have been listed for emergency use by the World Health Organization.
If an applicant is unable to be vaccinated due to a medical condition or a sincerely held religious belief, practice or observance, Guardian may provide reasonable accommodations. This policy may not apply to any Guardian colleagues working in a local jurisdiction (state, county, or city) that implements a law prohibiting a private employer from requiring vaccination, unless there is an applicable vaccine mandate from the federal government that would supersede the vaccination laws of the local jurisdiction. Guardian, in its sole discretion, may modify or terminate this requirement at any time.
Our promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards
We offer
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
About Guardian
Guardian has been helping people protect their futures and secure their lives for 160 years. Every day, we serve approximately 29 million people through a range of insurance and financial products. We help people and their families pursue financial security and well-being in life, health, and wealth. We help companies take care of their employees. And we help people recover and thrive after unexpected loss.
From our founding in 1860, when a community of immigrants joined together to insure and protect their businesses and families, doing the right thing for our policyholders and customers has guided everything we do. Our dedication to customers has helped us remain one of the most highly rated in client satisfaction and financial strength. And as one of the largest mutual insurance companies, we know what matters most: putting the needs of our customers first. Because everyone deserves a Guardian. Learn more about Guardian at www.GuardianLife.com.
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
