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DI Claims Specialist
4 months ago
Primary Duties & Responsibilities
• Determine applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability
Benefits claim philosophy.
• Order and review appropriate medical, financial, investigative, and other information needed to determine the eligibility of
claims.
• Actively manage a caseload of pending and active claim files by evaluating claim information and making decisions regarding
approval, denial, continuing payments, and terminations on a regular, ongoing basis.
• Communicate both verbally and in writing with insureds, field representatives, medical practitioners and related facilities,
attorneys, other insurance companies, appointed financial advisors, employers, governmental agencies and divisional
resources which involves negotiation and conflict resolution.
• Preserve Northwestern Mutual's image and reputation in making benefit decisions despite difficult and delicate
circumstances.
• As part of the claim handling process, may be called upon to represent the Company in legal matters through preparation for
and participation in depositions and trials.
• Approval limits: $0-$6,000 contestable and non-contestable claims.
Qualifications
• Bachelor's degree, experience in administering disability claims, or equivalent work experience.
• 1-3 years of responsible and relevant work experience demonstrating analytical ability, independent decision-making and
sound judgment in the application of guidelines.
• Ability to collaborate within and across teams to obtain the best possible results.
• Excellent organization and communication skills with emphasis on written communication
Compensation Range:
Pay Range - Start:
$51,170.00Pay Range - End:
$95,030.00Northwestern Mutual pays on a geographic-specific salary structure and placement in the salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity as well as the cost of labor in the market; and other conditions of employment. At Northwestern Mutual, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. Please note that the salary range listed in the posting is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please click here for additiona l information relating to location-based pay structures.
Grow your career with a best-in-class company that puts our client’s interests at the center of all we do. Get started nowWe are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law.
If you work or would be working in California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits.
FIND YOUR FUTUREWe’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion.
- Flexible work schedules
- Concierge service
- Comprehensive benefits
- Employee resource groups
