Information Technology_USA - USA_Project Manager

Short Term Disability Case ManagerManage end-to-end disability claims process from intake to closureAct as primary point of contact for claimants, employers, and medical providersEvaluate medical and non-medical information to support claim decisionsEnsure timely adjudication and payment of disability claimsCollaborate with clinical and vocational teams for case evaluationHandle claim escalations and ensure resolution within timelinesMonitor workload and maintain productivity and accuracy standardsSupport return-to-work initiatives for claimantsMaintain compliance with disability policies and regulatory guidelinesContribute to process improvements and service quality enhancementsReview and analyze medical documents such as diagnostic tests, office notes, and operative reportsDetermine claimant eligibility based on disability plan definitionsPerform outreach to employees, physicians, and employers for missing documentationUtilize clinical resources and duration guidelines for case assessmentPartner with internal clinical and vocational teams for decision-makingApprove, authorize, and process disability claims and benefitsCalculate and manage payments, adjustments, and offsets (Workers Compensation, State Disability, etc.)