Appeals Case Manager II

Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals for Group Life and Disability claims. The ACM 2 provides a full and fair reconsideration review, as required under the Employee Retirement Income Security Act (ERISA), by thoroughly assessing the claim file and applying plan provisions in accordance with applicable state and federal regulations.

This role supports Group Short-Term Disability, Long-Term Disability and Life Waiver of Premium appeals.

You are

A highly motivated and reliable individual who can work with varying levels of supervision, independently or collaboratively. You are a detailed decision maker able to manage several priorities at the same time with a positive attitude.

You have

• High School Diploma or GED required.
• 5+ years of Group Disability and/or Life claims experience.
• 3+ years of experience handling appeals or complex claims (preferred).
• Demonstrated verbal and written communication skills.
• Problem-solving, analytical, math proficiency, and information research skills.
• Proven ability managing multip...