DI Claim Specialist

The Opportunity

As a Claim Examiner, you will collaborate with subject matter experts, proactively identify, solicit, and analyze information essential to the claim evaluation process, including but not limited to medical records, financial documentation, and occupational information. You will develop and implement investigative action plans and make or recommend liability determinations in adherence with policy provisions.

The Team

We deliver a personalized and exceptional claim experience for our customers through continuous process improvements and data and technology solutions. Our culture is one of collaboration, agility, engagement, diversity, and inclusivity, with focus on associate development. Our talented workforce includes claim examiners and specialists, nurse consultants, vocational rehabilitation consultants, consulting physicians and psychologists, and financial consultants.

The Impact

• Adjudicate disability income and life waiver of premium claims of low to moderate complexity in adherence with policy provisions
• Demonstrate critical thinking and proactively address outstanding claim requirements
• Recommend initial and ongoing liability determinations, authorize and issue benefit payments as appropriate
• Demonstrate exceptional customer service skills, both oral and written
• Respond proactively and timely with claimants and other stakeholders
• Demonstrate the ability and desire to handle issues independently, seeking guidance in highly complex situations

The Minimum Qualifications

• Associates Degree or 2+ years of Individual Disability Income, Group Long Term Disability, or Long Term Care Claim Experience
• 1+ years of customer service experience

Ideal Qualifications

• Bachelor's degree
• 3+ years of Individual Disability Income, Long Term Care, or Group Long Term Disability Claim experience
• Investigative experience
• Proven, exceptional customer service skills through oral and written communications are required in accordance with internal and regulatory standards
• Must be flexible, able to work independently and self-driven
• Detail focused with excellent time management skills

What to Expect as Part of MassMutual and the Team

• Regular meetings with the DI Claims Teams
• Focused one-on-one meetings with your manager
• Access to mentorship opportunities
• Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQ, veteran and disability-focused Business Resource Groups
• Access to learning content on Degreed and other informational platforms
• Your ethics and integrity will be valued by a company with a strong and stable ethical business industry leading pay and benefits

#LI-DK1

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.

If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.
EEO Statement (Opens in new window)
MassMutual will accept applications on an ongoing basis until such time as a candidate has been offered employment.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.

Salary Range: $57,000.00-$71,800.00