JOB DESCRIPTION

We're growing and our clients deserve the best. As a DI CLAIM EXAMINER, you will be responsible adjudicating disability income and life waiver of premium claims of low to moderate complexity. In this role, you will demonstrate accountability, agility, a dedication to be inclusive, a strong business acumen, and exhibit courage, even in the most difficult situations.

THE OPPORTUNITY

With the assistance of appropriate subject matter experts (medical, vocational, financial, legal, etc.), you will identify core claim concerns, develop and execute investigative action plans to obtain essential information and analyze claim information. Joint field investigative work may be performed with more experienced staff. After considering claim facts and policy coverage, you will make or recommend initial and ongoing liability determinations and authorize benefit payments as appropriate within specified authority limits.

THE TEAM

Associates in this role effectively adjudicate disability income and life waiver of premium claims. These claims range between low to moderate complexity. This team has obtained a basic foundation of knowledge regarding disability income policy and rider provisions as well as life waiver of premium riders. With increasing autonomy and discretion, this team identifies core claim issues, develops and executes investigative action plans to obtain essential information and analyze claim information with the assistance of appropriate subject matter experts (medical, vocational, financial, legal, etc.). After considering claim facts and policy coverage, incumbents make or recommend initial and ongoing liability determinations on disability income and life waiver of premium claims and authorize benefit payments as appropriate within specified authority limits.

THE IMPACT

• Critically adjudicate disability income and life waiver of premium claims
• Recommend initial and ongoing liability determinations on disability income and life waiver of premium claims and authorize benefit payments as appropriate within specified authority limits
• Communicate properly and timely with claimants and other stakeholders, both written and oral
• Applies knowledge to handle issues independently and seeks guidance in highly complex situations

MINIMUM QUALIFICATIONS

• Associates Degree OR 4+ years of Disability Income experience
• Exceptional customer service skills through oral and written communications is required in accordance with internal and regulatory standards
• 1+ years of customer service experience
• Must be flexible, able to work independently and self-driven
• Must be detail focused and manage time well

IDEAL QUALIFICATIONS

• Bach degree
• Disability Income work experience

#LI-DC1

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.

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